Individual
ASHLEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2602 LITTLE HILL CV APT 310, OVIEDO, FL 32765-6657
(407) 427-2001
Mailing address
2602 LITTLE HILL CV APT 310, OVIEDO, FL 32765-6657
(407) 427-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9365849
FL
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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