Clark, Carrie Ann

Clark, Carrie Ann is an individual health care provider with primary practice located at 340 Dardanelli Ln Ste 10 , Los Gatos CA 95032-1418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Clark, Carrie Ann can be contacted via phone (408) 412-8100.

Contact Information

Primary practice address
340 Dardanelli Ln Ste 10 Los Gatos CA 95032-1418
Phone: (408) 412-8100
Fax: (408) 412-8499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 2017026979 California

Profile Details

NPI number 1285137588
LBN Legal business name Clark, Carrie Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2018
Last updated Aug 19th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285137588 NPPES
California Other 2017026979 AMERICAN NURSE CREDENTIALING CENTER
California Other CA303447 AMERICAN NURSE CREDENTIALING CENTER

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