Individual
ISABELLE CLYDE
Active
Individual
ISABELLE CLYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001336667
VA
163WG0000X
General Practice Registered Nurse
RN2371552
MA
363LA2200X
Adult Health Nurse Practitioner
0024193348
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
2024055766
MA
Other
Enumeration date
09/29/2023
Last updated
05/29/2025
Update your record
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