Clark, Elizabeth Leona

Clark, Elizabeth Leona is an individual health care provider with primary practice located at 630 E River St , Elyria OH 44035-5902. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Elizabeth Leona can be contacted via phone (440) 329-7500.

Contact Information

Primary practice address
630 E River St Elyria OH 44035-5902
Phone: (440) 329-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.022580 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 341203 Ohio

Profile Details

NPI number 1902301120
LBN Legal business name Clark, Elizabeth Leona
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2018
Last updated Mar 28th, 2018 - about 7 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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