Individual
TERESA LYNNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1675 AVENUE F, ELY, NV 89301-3500
(775) 289-1671
(775) 289-1561
Mailing address
240 S HUMAHUACA ST, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN95728
NV
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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