Carolynn Kathleen Clarke, CNM, MSN, RN
Nurse Practitioner, Obstetrics & Gynecology in Yakima, WA. Individual provider (NPI-1).
NPI number1114200094
StatusActive
Last updated in NPPESJul 1, 2020
Details
- NPI
- 1114200094
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carolynn Kathleen Clarke
- Credential
- CNM, MSN, RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2011
- Certification date
- Jul 1, 2020
- Last updated
- Jul 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | AP60655666 | WA | Yes |
| 363L00000X | Nurse Practitioner | AP60655666 | WA |
Practice location
12 S 8th StYakima, WA 98901-3020
Phone 509-454-4143
Mailing address
2205 W Chestnut AveYakima, WA 98902-3744
Phone 714-615-9509
Other practice locations
1515 W Yakima Ave
Yakima, WA 98902-2950
Yakima, WA 98902-2950
Phone 509-574-3803
12462 Putnam St Ste 303
Whittier, CA 90602-1049
Whittier, CA 90602-1049
Phone 203-974-3173
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