Individual
MS. MOLLY ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2628
(207) 779-2303
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2628
(207) 779-2303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN57542
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP121093
ME
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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