Individual
CAITLIN MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
234 CROOKED CREEK PKWY STE 200, DURHAM, NC 27713-8506
(919) 544-6644
Mailing address
6016 KAYTON ST, RALEIGH, NC 27616-4328
(512) 364-4081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013848
NC
Other
Enumeration date
12/03/2020
Last updated
03/10/2021
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