person
Myra Leslie Clark, PHD,NP-C
Family Nurse Practitioner in Mechanicsville, Virginia
NPI 1629228093

Myra Leslie Clark is a Family Nurse Practitioner based in Charlottesville, VA and is specialized in Family. Myra Leslie Clark practices in Mechanicsville, VA and has the professional credentials of PHD,NP-C. The NPI Number for Myra Leslie Clark is 1629228093 and holds a License No. 0024170893 (Virginia).

The current practice location address for Myra Leslie Clark is 7048 Mechanicsville Tpke, Mechanicsville, VA and can be reached out via phone at 804-730-9498 and via fax at 804-569-7967. You can also correspond with Myra Leslie Clark through the mailing address at 2485 RANSON CT, CHARLOTTESVILLE, VA - 22911-8622 (mailing address contact number: 434-293-0660).

Location: 7048 Mechanicsville Tpke, Mechanicsville, VA, 22911-8622
person
Provider Profile Details
NPI Number
1629228093
Provider Name
Myra Leslie Clark
Credential
PHD,NP-C
Provider Entity Type
Individual
Gender
Female
Address
7048 Mechanicsville Tpke, Mechanicsville, VA, 22911-8622
Phone Number
804-730-9498
Fax Number
804-569-7967
Provider Enumeration Date
09/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7048 Mechanicsville Tpke
City
State
Zip
23111-7101
Phone Number
804-730-9498
Fax Number
804-569-7967
person
Provider Business Mailing Address Details
Address
7048 Mechanicsville Tpke
City
State
Zip
23111-7101
Phone Number
804-730-9498
Fax Number
804-569-7967
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024170893 (Virginia)
Definition
Definition to come...
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