Clark, Carolyn Marie

Clark, Carolyn Marie is an individual health care provider with primary practice located at 1 Childrens Pl , Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Carolyn Marie can be contacted via phone (314) 486-5388.

Contact Information

Primary practice address
1 Childrens Pl Saint Louis MO 63110-1002
Phone: (314) 486-5388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2024001854 Missouri

Profile Details

NPI number 1194582593
LBN Legal business name Clark, Carolyn Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2024
Last updated Mar 29th, 2024 - about 9 months 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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