Bernal Clark, Mary Elizabeth

Bernal Clark, Mary Elizabeth is an individual health care provider with primary practice located at 100 E Carroll St , Salisbury MD 21801-5422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bernal Clark, Mary Elizabeth can be contacted via phone (410) 543-7536.

Contact Information

Primary practice address
100 E Carroll St Salisbury MD 21801-5422
Phone: (410) 543-7536
Fax: (410) 543-7272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R131285 Maryland

Profile Details

NPI number 1760471684
LBN Legal business name Bernal Clark, Mary Elizabeth
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760471684 NPPES
Maryland MEDICAID 405537300

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