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NPI Code Detail

MEDICARE: APRIL MARIE CLARK CNP

MEDICARE: APRIL MARIE CLARK CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPN0991205NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194746545
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL MARIE CLARK CNP
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line :
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 11747 W KEN CARYL AVE
Second Line :
City : LITTLETON
State : CO
Zip : 80127-3700
Country : US
Telephone Number : 720-981-2069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 02/18/2021

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