Clark, Elisha Anne

Clark, Elisha Anne is an individual health care provider with primary practice located at 1330 Clark St , Cambridge OH 43725-9614. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Elisha Anne can be contacted via phone (740) 421-9530.

Contact Information

Primary practice address
1330 Clark St Cambridge OH 43725-9614
Phone: (740) 421-9530
Fax: (740) 421-9531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X 12497NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA12497NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.12497 Ohio

Profile Details

NPI number 1750664108
LBN Legal business name Clark, Elisha Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Dec 30th, 2020 - about 6 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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