Individual
DR. ANDREA MICHELLE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 TRANCAS ST, SUITE 240, NAPA, CA 94558-2900
(707) 253-9132
(707) 253-9178
Mailing address
1100 TRANCAS ST, SUITE 240, NAPA, CA 94558-2900
(707) 253-9132
(707) 253-9178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A66060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A660600
BLUE SHIELD PIN
CA
01
—
ZZZ66507Z
BLUE SHIELD GROUP PIN
CA
Enumeration date
03/17/2006
Last updated
12/14/2021
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