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
Phone: (760) 631-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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