Individual
MRS. ELIZABETH MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1120 112TH AVE NE, BELLEVUE, WA 98004-4500
(425) 688-5846
(425) 688-5281
Mailing address
1120 112TH AVE NE, BELLEVUE, WA 98004-4500
(425) 688-5846
(425) 688-5281
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60139588
WA
Other
Enumeration date
03/14/2011
Last updated
08/07/2014
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