Individual
ANDREW CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2605 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9510
(717) 464-2838
Mailing address
2605 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9510
(717) 464-2838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00783000
NJ
363LF0000X
Family Nurse Practitioner
Primary
SP029864
PA
Other
Enumeration date
12/28/2017
Last updated
05/13/2026
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