person
Charlene Clark, FNP
Family Nurse Practitioner in Moses Lake, Washington
NPI 1144621756

Charlene Clark is a Family Nurse Practitioner based in Wenatchee, WA and is specialized in Family. Charlene Clark practices in Moses Lake, WA and has the professional credentials of FNP. The NPI Number for Charlene Clark is 1144621756 and holds a License No. 19070 (Washington).

The current practice location address for Charlene Clark is 840 E Hill Ave, Moses Lake, WA and can be reached out via phone at 509-663-8711 and via fax at 731-658-4079.

Location: 840 E Hill Ave, Moses Lake, WA, 98801-2028
person
Provider Profile Details
NPI Number
1144621756
Provider Name
Charlene Clark
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
840 E Hill Ave, Moses Lake, WA, 98801-2028
Phone Number
509-663-8711
Fax Number
731-658-4079
Provider Enumeration Date
09/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19070 01 TN APN LICENSE
institution
Provider Business Practice Location Address Details
Address
840 E Hill Ave
City
State
Zip
98837-2238
Phone Number
509-663-8711
Fax Number
731-658-4079
person
Provider Business Mailing Address Details
Address
840 E Hill Ave
City
State
Zip
98837-2238
Phone Number
509-663-8711
Fax Number
731-658-4079
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
19070 (Tennessee)
Definition
Definition to come...
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