Individual
BREANNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30 HOPE DR, HERSHEY, PA 17033-2036
(717) 531-8887
(717) 531-4974
Mailing address
90 HOPE DR., P.O. BOX 855, HERSHEY, PA 17033-0855
(717) 531-7180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023123
PA
363LF0000X
Family Nurse Practitioner
SP023123
PA
Other
Enumeration date
04/25/2021
Last updated
09/18/2024
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