Individual
MRS. ANGELA BRIANNE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10710 MIDLOTHIAN TPKE, SUITE 138, NORTH CHESTERFIELD, VA 23235-4722
(804) 330-4990
Mailing address
6450 STUDLEY RD, MECHANICSVILLE, VA 23116-4752
(804) 317-6611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173198
VA
Other
Enumeration date
01/10/2016
Last updated
01/10/2016
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