Female

Patricia Clark RN

Nurse Practitioner in Metairie, LA(View on Map)

Full Name

Patricia Clark RN

NPI Number

1093897266

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/19/2006

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

AP04330

Contact
Information

Purpose

Mailing
Location

Address

1316 HYMELIA AVE
1316 HYMELIA AVE

City

Metairie
Metairie

State

LA
LA

Postal Code

70003-3710
70003-3710

Country

US
US

Telephone Number

(504) 818-2296
(504) 818-2296

Identifiers

Identifier

1173762

Identifier State

LA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/15/2008

Provider Address

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