Clark, Louann
Clark, Louann is an individual health care provider with primary practice located at 14027 5Th St , Dade City FL 33525-4302. 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, Louann can be contacted via phone (352) 518-2000.Contact Information
Primary practice address
14027 5Th St
Dade City FL 33525-4302
Phone: (352) 518-2000
Fax: (352) 567-0218
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP3198092 | Florida |
Profile Details
NPI number | 1710940333 |
---|---|
LBN Legal business name | Clark, Louann |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2006 |
Last updated | Oct 21st, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710940333 | NPPES |
Florida | MEDICAID | 3021360000 |
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