Individual
MARY ANN SNYDER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 PINE GROVE COMMONS, YORK, PA 17403-5176
(717) 851-5736
(717) 851-6162
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-6162
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
SP008753
PA
363LF0000X
Family Nurse Practitioner
Primary
SP008753
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102499
JOHNS HOPKINS
PA
01
—
1551918
GATEWAY-WMG
PA
01
—
50054751
CAPITAL BLUE CROSS-WMG
PA
01
—
648377
CAREFIRST MD BCBS
MD
Enumeration date
06/28/2006
Last updated
06/10/2016
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