Clark, Myrlita Shawn

Clark, Myrlita Shawn is an individual health care provider with primary practice located at 1999 W Hunting Park Ave , Philadelphia PA 19140-2828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Clark, Myrlita Shawn can be contacted via phone (215) 228-9300.

Contact Information

Primary practice address
1999 W Hunting Park Ave Philadelphia PA 19140-2828
Phone: (215) 228-9300
Fax: (215) 228-9913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SPO10333 Pennsylvania

Profile Details

NPI number 1871729889
LBN Legal business name Clark, Myrlita Shawn
Credentials NP,C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2009
Last updated Apr 19th, 2016 - about 9 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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