person
Carrie Ann Clark, FNP
Family Health Clinical Nurse Specialist in Los Gatos, California
NPI 1285137588

Carrie Ann Clark is a Family Health Clinical Nurse Specialist based in San Jose, CA and is specialized in Family Health. Carrie Ann Clark practices in Los Gatos, CA and has the professional credentials of FNP. The NPI Number for Carrie Ann Clark is 1285137588 and holds a License No. 2017026979 (California).

The current practice location address for Carrie Ann Clark is 340 Dardanelli Ln Ste 10, Los Gatos, CA and can be reached out via phone at 408-412-8100 and via fax at 408-412-8499.

Location: 340 Dardanelli Ln Ste 10, Los Gatos, CA, 95125-3635
person
Provider Profile Details
NPI Number
1285137588
Provider Name
Carrie Ann Clark
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
340 Dardanelli Ln Ste 10, Los Gatos, CA, 95125-3635
Phone Number
408-412-8100
Fax Number
408-412-8499
Provider Enumeration Date
03/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2017026979 01 CA AMERICAN NURSE CREDENTIALING CENTER
CA303447 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
340 Dardanelli Ln Ste 10
City
State
Zip
95032-1418
Phone Number
408-412-8100
Fax Number
408-412-8499
person
Provider Business Mailing Address Details
Address
340 Dardanelli Ln Ste 10
City
State
Zip
95032-1418
Phone Number
408-412-8100
Fax Number
408-412-8499
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Family Health
Taxonomy
License No.
2017026979 (California)
Definition
Definition to come...
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