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Individual

AMY DECLERK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1100 LEXINGTON AVE STE 400, FORT SMITH, AR 72901-5170
(877) 522-1275
(509) 491-3031
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(877) 522-1275
(833) 888-7145

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004229
AR
363LP2300X
Primary Care Nurse Practitioner
F1014430
AR

Other

Enumeration date
10/24/2014
Last updated
02/26/2025
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