Clark, Cynthia Rae

Clark, Cynthia Rae is an individual health care provider with primary practice located at 1000 Vale Terrace Dr , Vista CA 92084-5218. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Clark, Cynthia Rae can be contacted via phone (760) 631-5000.

Contact Information

Primary practice address
1000 Vale Terrace Dr Vista CA 92084-5218
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP16833 California
Nursing Service Providers / Pediatrics 163WP0200X RN575767 California

Profile Details

NPI number 1679698849
LBN Legal business name Clark, Cynthia Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Nov 18th, 2016 - about 8 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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