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Samuel Clark, FNP
Family Nurse Practitioner in Wells, Maine
NPI 1720245673

Samuel Clark is a Family Nurse Practitioner based in Wells, ME and is specialized in Family. Samuel Clark practices in Wells, ME and has the professional credentials of FNP. The NPI Number for Samuel Clark is 1720245673 and holds a License No. CNP241398 (Maine).

The current practice location address for Samuel Clark is 112 Sanford Rd, Wells, ME and can be reached out via phone at 207-646-5211.

Location: 112 Sanford Rd, Wells, ME, 04090-4707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720245673
Provider Name
Samuel Clark
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
112 Sanford Rd, Wells, ME, 04090-4707
Phone Number
207-646-5211
Fax Number
Provider Enumeration Date
05/19/2008
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
112 Sanford Rd
City
Wells
State
Maine
Zip
04090-5533
Phone Number
207-646-5211
Fax Number
person
Provider Business Mailing Address Details
Address
112 Sanford Rd
City
Wells
State
Maine
Zip
04090-5533
Phone Number
207-646-5211
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
CNP241398 (Maine)
Definition
Definition to come...
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