Individual
MS. EVELYN BARDAGO CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ANP, NP-C
Contact information
Practice address
1011 39TH AVE, GREELEY, CO 80634-2504
(970) 351-8181
Mailing address
1011 39TH AVE, GREELEY, CO 80634-2504
(970) 351-8181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0990763
CO
363LF0000X
Family Nurse Practitioner
23234
CA
Other
Enumeration date
07/22/2013
Last updated
12/18/2020
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