Clark, Deanna R
Clark, Deanna R is an individual health care provider with primary practice located at 4225 Montgomery Blvd Ne , Albuquerque NM 87109-1103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Deanna R can be contacted via phone (505) 366-3635.Contact Information
Primary practice address
4225 Montgomery Blvd Ne
Albuquerque NM 87109-1103
Phone: (505) 366-3635
Fax: (505) 221-5429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP-03049 | New Mexico |
Profile Details
| NPI number | 1477003366 |
|---|---|
| LBN Legal business name | Clark, Deanna R |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2016 |
| Last updated | Sep 23rd, 2021 - about 5 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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