Clarke, Carla Adelle

Clarke, Carla Adelle is an sole proprietor health care provider with primary practice located at 76 Whittier Drive , Thornwood NY 10594-1714. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Clarke, Carla Adelle can be contacted via phone (914) 747-3292.

Contact Information

Primary practice address
76 Whittier Drive Thornwood NY 10594-1714
Phone: (914) 747-3292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 5617191 New York
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2601141 New York

Profile Details

NPI number 1891976544
LBN Legal business name Clarke, Carla Adelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2007
Last updated Nov 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891976544 NPPES
New York MEDICAID 02073870

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