Clark, Karen Marie

Clark, Karen Marie is an individual health care provider with primary practice located at 1140 Sonoma Ave 2A, Santa Rosa CA 95405-4817. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clark, Karen Marie can be contacted via phone (707) 526-5034.

Contact Information

Primary practice address
1140 Sonoma Ave 2A Santa Rosa CA 95405-4817
Phone: (707) 526-5034
Fax: (707) 545-3984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16742 California

Profile Details

NPI number 1508049594
LBN Legal business name Clark, Karen Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Dec 12th, 2007 - about 18 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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