ALISA L. CLARK

WILMINGTON, DE
NPI1689765935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: DE  L10024969)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: DE  L10024969)
363L00000X Nurse Practitioner
(Licence: PA  030126)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  RN308838L)
Enumeration Date2006-09-28
Last Update Date2018-08-09
Business Address
Ms. ALISA L. CLARK APN
A.I. DUPONT HOSPITAL FOR CHILDREN 1600 ROCKLAND ROAD
WILMINGTON, DE 19803
Phone number: 302-651-4000
Mailing Address
Ms. ALISA L. CLARK APN
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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