Organization
DYSAUTONOMIA MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CLARK CRNP (OWNER)
(330) 319-1536
Entity
Organization
Contact information
Practice address
18 BURNS RD, SPRING GROVE, PA 17362-8359
(443) 692-7991
Mailing address
18 BURNS RD, SPRING GROVE, PA 17362-8359
(443) 692-7991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
04/03/2026
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