Individual
TATIANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
7005 CORTEZ RD W, BRADENTON, FL 34210-2509
(941) 465-4800
(855) 637-3923
Mailing address
7005 CORTEZ RD W, BRADENTON, FL 34210-2509
(941) 465-4800
(855) 637-3923
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9253515
FL
Other
Enumeration date
04/07/2016
Last updated
01/19/2022
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