Individual
DANIELLE NICOLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15631 N ORACLE RD STE 165, CATALINA, AZ 85739-8691
(520) 780-0304
Mailing address
PO BOX 5296, ORACLE, AZ 85623-5296
(520) 490-8557
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
316125
AZ
Other
Enumeration date
11/08/2024
Last updated
11/12/2024
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