Individual
MEGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
23 HIGH ST, FORT FAIRFIELD, ME 04742-1021
(207) 768-4753
Mailing address
19 HARRISON AVE, FORT FAIRFIELD, ME 04742-1250
(207) 380-4512
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP241045
ME
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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