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Individual

CATHERINE E CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1701 W 72ND AVE, DENVER, CO 80221-2721
(303) 650-4460
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-3397

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
162502
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79958061
CO
Enumeration date
10/17/2006
Last updated
05/14/2021
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