Kathleen Marie Clark, MSN FNP C
Nurse Practitioner in Long Beach, CA. Individual provider (NPI-1).
NPI number1083774582
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083774582
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kathleen Marie Clark
- Credential
- MSN FNP C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 16395 | CA | Yes |
Practice location
1250 Bellflower BlvdShs
Long Beach, CA 90840-0201
Phone 562-985-5146 · Fax 562-985-8404
Mailing address
3247 Chatwin AveShs
Long Beach, CA 90808
Phone 562-354-6083
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