Individual
GINA CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
10196025-4405
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
ARNP3158972
FL
Other
Enumeration date
07/11/2010
Last updated
08/16/2022
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