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MS. CATHERINE CLARK FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1437389566

Individual Registrant:
MS. CATHERINE  CLARK FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
1381 UNIVERSITY ST  HEALDSBURG, CA 95448-3314 US
Tel: 707-433-8161  Fax: --

Contact information for business:
1381 UNIVERSITY ST  HEALDSBURG, CA 95448-3314 US
Tel: 707-433-8161  Fax: --

Registration Information:
NPI: 1437389566
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA4326

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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