Individual
MANDA LYNNE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2107 BOX BUTTE AVE, ALLIANCE, NE 69301-4415
(308) 762-7244
(308) 762-6657
Mailing address
1232 E 8TH ST, ALLIANCE, NE 69301-3655
(308) 762-3095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110849
NE
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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