Individual provider · NPI-1

Lynn A Clark, ARNP

Nurse Practitioner, Women's Health · Tacoma, WA

NPI number1023024940
StatusActive
Last updated in NPPESDec 2, 2020

Details

NPI
1023024940
Entity type
Individual (NPI-1)
Name
Lynn A Clark
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2006
Certification date
Dec 2, 2020
Last updated
Dec 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's HealthAP30002563WAYes
163WW0101X Registered Nurse, Women's Health Care, AmbulatoryAP30002563WA
363LX0001X Nurse Practitioner, Obstetrics & GynecologyAP30002563WA

Practice location

1708 Yakima Ave Ste 203
Tacoma, WA 98405-5300

Phone 253-382-8150 · Fax 253-985-6812

Mailing address

1708 Yakima Ave Ste 203
Tacoma, WA 98405-5300

Phone 253-382-8150 · Fax 253-985-6812

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