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Minnie R Clark, NP
Adult Health Nurse Practitioner in Medina, New York
NPI 1811581762

Minnie R Clark is an Adult Health Nurse Practitioner based in Lyndonville, NY and is specialized in Adult Health. Minnie R Clark practices in Medina, NY and has the professional credentials of NP. The NPI Number for Minnie R Clark is 1811581762 and holds a License No. 310179 (New York).

The current practice location address for Minnie R Clark is 200 Ohio St, Medina, NY and can be reached out via phone at 585-798-2000.

Location: 200 Ohio St, Medina, NY, 14098-9606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811581762
Provider Name
Minnie R Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
200 Ohio St, Medina, NY, 14098-9606
Phone Number
585-798-2000
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Ohio St
City
Medina
State
New York
Zip
14103-1063
Phone Number
585-798-2000
Fax Number
person
Provider Business Mailing Address Details
Address
200 Ohio St
City
Medina
State
New York
Zip
14103-1063
Phone Number
585-798-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
310179 (New York)
Definition
Definition to come...
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