Individual
BEVERLY ANNE-MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13808 PROFESSIONAL CENTER DR, HUNTERSVILLE, NC 28078-7948
(704) 377-4009
Mailing address
13808 PROFESSIONAL CENTER DR, HUNTERSVILLE, NC 28078-7948
(704) 377-4009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3527951
NY
367500000X
Certified Registered Nurse Anesthetist
352795
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
5313
NC
Other
Enumeration date
07/29/2005
Last updated
10/29/2025
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