Annette Aldridge Clark, CPNP
Nurse Practitioner, Pediatrics in Durham, NC. Individual provider (NPI-1).
NPI number1376901140
StatusActive
Last updated in NPPESFeb 8, 2016
Details
- NPI
- 1376901140
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Annette Aldridge Clark
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2016
- Last updated
- Feb 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 5008320 | NC | Yes |
Practice location
2424 Erwin RdSuite 504
Durham, NC 27705-3824
Phone 919-681-5551
Mailing address
510 Stonecreek DrApex, NC 27539-9733
Phone 540-420-9563
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