Individual
SAMUEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
112 SANFORD RD, WELLS, ME 04090-5533
(207) 646-5211
Mailing address
317 LAUDHOLM FARM RD, WELLS, ME 04090-4707
(617) 320-5256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP241398
ME
Other
Enumeration date
05/19/2008
Last updated
07/23/2024
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