person
Ms. Susan Marie Clark, CRNP
Family Nurse Practitioner in Denton, Maryland
NPI 1326055534

Susan Marie Clark is a Family Nurse Practitioner based in Denton, MD and is specialized in Family. Susan Marie Clark practices in Denton, MD and has the professional credentials of CRNP. The NPI Number for Susan Marie Clark is 1326055534 and holds a License No. R157798 (Maryland).

The current practice location address for Susan Marie Clark is 301 Randolph St, Denton, MD and can be reached out via phone at 410-479-4306 and via fax at 410-479-1714. You can also correspond with Susan Marie Clark through the mailing address at 301 RANDOLPH ST, DENTON, MD - 21629-1243 (mailing address contact number: 410-479-4306).

Location: 301 Randolph St, Denton, MD, 21629-1243
person
Provider Profile Details
NPI Number
1326055534
Provider Name
Susan Marie Clark
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
301 Randolph St, Denton, MD, 21629-1243
Phone Number
410-479-4306
Fax Number
410-479-1714
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
784381000 05 MD
T5880040 01 MD CF BC/BS GRP/GHMSI/BL CHO
207884 01 PRIORITY PARTNERS
521116591 01 MD MARYLAND PHYSICIANS CARE
521116591 01 MD TRICARE
521116591 01 MD INFORMED
766408 01 NCPPO
521116591 01 MD COVENTRY
89583301 01 MD CAREFIRST BC/BS RENDERING
9924498 01 CIGNA
institution
Provider Business Practice Location Address Details
Address
301 Randolph St
City
State
Zip
21629-1243
Phone Number
410-479-4306
Fax Number
410-479-1714
person
Provider Business Mailing Address Details
Address
301 Randolph St
City
State
Zip
21629-1243
Phone Number
410-479-4306
Fax Number
410-479-1714
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R157798 (Maryland)
Definition
Definition to come...
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