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Ms. Rachel L Clark, NP-C
Family Nurse Practitioner in Ithaca, New York
NPI 1740518646

Rachel L Clark is a Family Nurse Practitioner based in Ithaca, NY and is specialized in Family. Rachel L Clark practices in Ithaca, NY and has the professional credentials of NP-C. The NPI Number for Rachel L Clark is 1740518646 and holds a License No. 337544 (New York).

The current practice location address for Rachel L Clark is 110 Ho Plz, Ithaca, NY and can be reached out via phone at 607-255-5155.

Location: 110 Ho Plz, Ithaca, NY, 14853-3102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740518646
Provider Name
Rachel L Clark
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
110 Ho Plz, Ithaca, NY, 14853-3102
Phone Number
607-255-5155
Fax Number
Provider Enumeration Date
12/03/2009
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
COA.11193-NP 01 OH CERTIFIED NURSE PRACTITIONER
RN.355902-COA1 01 OH RN
institution
Provider Business Practice Location Address Details
Address
110 Ho Plz
City
Ithaca
State
New York
Zip
14853-3102
Phone Number
607-255-5155
Fax Number
person
Provider Business Mailing Address Details
Address
110 Ho Plz
City
Ithaca
State
New York
Zip
14853-3102
Phone Number
607-255-5155
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
337544 (New York)
Definition
Definition to come...
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