person
Carolyn Marie Clark, NP
Pediatric Nurse Practitioner in Saint Louis, Missouri
NPI 1194582593

Carolyn Marie Clark is a Pediatric Nurse Practitioner based in Saint Louis, MO and is specialized in Pediatrics. Carolyn Marie Clark practices in Saint Louis, MO and has the professional credentials of NP. The NPI Number for Carolyn Marie Clark is 1194582593 and holds a License No. 2024001854 (Missouri).

The current practice location address for Carolyn Marie Clark is 1 Childrens Pl, Saint Louis, MO and can be reached out via phone at 314-486-5388.

Location: 1 Childrens Pl, Saint Louis, MO, 63110-1002
person
Provider Profile Details
NPI Number
1194582593
Provider Name
Carolyn Marie Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1 Childrens Pl, Saint Louis, MO, 63110-1002
Phone Number
314-486-5388
Fax Number
Provider Enumeration Date
03/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1 Childrens Pl
City
State
Zip
63110-1002
Phone Number
314-486-5388
Fax Number
person
Provider Business Mailing Address Details
Address
1 Childrens Pl
City
State
Zip
63110-1002
Phone Number
314-486-5388
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2024001854 (Missouri)
Definition
Definition to come...
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