Individual
NATALIE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
7727 OVERBROOK AVE, PHILADELPHIA, PA 19151-2016
(267) 679-9312
Mailing address
7727 OVERBROOK AVE, PHILADELPHIA, PA 19151-2016
(267) 679-9312
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP018361
PA
Other
Enumeration date
03/31/2018
Last updated
03/31/2018
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