Clark, Angela Kay

Clark, Angela Kay is an individual health care provider with primary practice located at 1717 W Cowles St , Fairbanks AK 99701-5926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Angela Kay can be contacted via phone (907) 451-6682.

Contact Information

Primary practice address
1717 W Cowles St Fairbanks AK 99701-5926
Phone: (907) 451-6682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000015858 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5858 Minnesota

Profile Details

NPI number 1174810691
LBN Legal business name Clark, Angela Kay
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Apr 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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