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Individual

ERICKA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1600 CRAIN HWY S STE 301, GLEN BURNIE, MD 21061-6446
(410) 787-8315
Mailing address
1600 CRAIN HWY S STE 301, GLEN BURNIE, MD 21061-6446
(410) 787-8315

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC005986
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11017507
FL

Other

Enumeration date
08/23/2018
Last updated
12/01/2023
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