Individual
AUDREY R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7936 BRADY RD NW, ALBUQUERQUE, NM 87120-1246
(505) 352-4838
Mailing address
7936 BRADY RD NW, ALBUQUERQUE, NM 87120-1246
(505) 352-4838
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
57708
NM
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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