Clark, Mary Elizabeth

Clark, Mary Elizabeth is an individual health care provider with primary practice located at 26 Nesbitt Rd Ste 100 , New Castle PA 16105-3417. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Mary Elizabeth can be contacted via phone (724) 983-1611.

Contact Information

Primary practice address
26 Nesbitt Rd Ste 100 New Castle PA 16105-3417
Phone: (724) 983-1611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN780193 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN.405714 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.022539 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP028452 Pennsylvania

Profile Details

NPI number 1215435086
LBN Legal business name Clark, Mary Elizabeth
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2018
Last updated Jan 25th, 2024 - about 2 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 1215435086 NPPES
Ohio MEDICAID 0274317

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