Individual provider · NPI-1
April Dawn Clark, NP
Nurse Practitioner, Adult Health · Wadsworth, OH
NPI number1669144846
StatusActive
Last updated in NPPESJul 7, 2022
Details
- NPI
- 1669144846
- Entity type
- Individual (NPI-1)
- Name
- April Dawn Clark
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2021
- Certification date
- Jul 7, 2022
- Last updated
- Jul 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 0029716 | OH | Yes |
| 363LF0000X | Nurse Practitioner, Family | 0029716 | OH | |
| 363LG0600X | Nurse Practitioner, Gerontology | 0029716 | OH |
Other names
- April Dawn Bos (Former Name)
Practice location
860 Broad StWadsworth, OH 44281-9052
Phone 330-331-7106 · Fax 330-331-7556
Mailing address
Po Box 932909Cleveland, OH 44193-0026
Phone 330-854-4281 · Fax 330-854-0829
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