Individual
CARLY ANN CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 EDMUNDSON PL STE 306, COUNCIL BLUFFS, IA 51503-4620
(402) 354-5677
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-5677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A167810
IA
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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