Individual
BROOKE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4131A OREGON PIKE, EPHRATA, PA 17522-9550
(717) 859-1123
(717) 859-2898
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 859-1123
(717) 859-2898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026333
PA
Other
Enumeration date
10/10/2022
Last updated
12/29/2023
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