Individual
MRS. DORIS ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
813 FRANKLIN STREET, HUNTSVILLE, AL 35801-4311
(256) 519-3650
(256) 585-6713
Mailing address
813 FRANKLIN STREET, HUNTSVILLE, AL 35801-4311
(256) 519-3650
(256) 585-6713
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-051144
AL
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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