Individual
ALEXA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN.413135
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/12/2019
Last updated
02/28/2023
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