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Individual

MRS. MARIBETH COLLARD CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6801 AIRPORT BLVD, HOSPITALIST DEPT., MOBILE, AL 36608-3709
(251) 639-5775
(251) 631-3581
Mailing address
6801 AIRPORT BLVD, HOSPITALIST DEPT., MOBILE, AL 36608-3709
(251) 639-5775
(251) 631-3581

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11036078
FL
363LA2100X
Acute Care Nurse Practitioner
1-098071
AL
363LA2100X
Acute Care Nurse Practitioner
APRN11036078
FL

Other

Enumeration date
01/08/2015
Last updated
02/13/2025
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