Individual
DR. THAYER A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
76 WATERTOWN RD STE 2F, THOMASTON, CT 06787-1826
(860) 880-8091
Mailing address
20 ESSEX LN, WOODBURY, CT 06798-2600
(203) 232-2017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7667
CT
Other
Enumeration date
02/07/2018
Last updated
06/28/2019
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