CAROL CLARK

INDIANAPOLIS, IN
NPI1770535502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71000959A)
Additional Taxonomies363LC1500X Nurse Practitioner, Community Health
(Licence: IN  71000959A)
Enumeration Date2006-05-17
Last Update Date2012-05-02
Business Address
-- CAROL CLARK CNP
9015 E 17TH ST
INDIANAPOLIS, IN 46229-2016
Phone number: 317-898-3166
Mailing Address
-- CAROL CLARK CNP
9015 E 17TH ST
INDIANAPOLIS, IN 46229-2016
Phone number: 317-898-3166