Deborah Clark, RN
Registered Nurse, Psych/Mental Health, Adult in Rochester, NY. Individual provider (NPI-1).
NPI number1811212442
StatusActive
Last updated in NPPESApr 7, 2010
Details
- NPI
- 1811212442
- Entity type
- Individual (NPI-1)
- Name
- Deborah Clark
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2010
- Last updated
- Apr 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 267098-1 | NY | Yes |
Practice location
1111 Elmwood AveRochester, NY 14620-3005
Phone 585-241-1539 · Fax 585-241-1273
Mailing address
1111 Elmwood AveRochester, NY 14620-3005
Phone 585-241-1539 · Fax 585-241-1273
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