Clark, Tatiana

Clark, Tatiana is an individual health care provider with primary practice located at 7005 Cortez Rd W , Bradenton FL 34210-2509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Clark, Tatiana can be contacted via phone (941) 465-4800.

Contact Information

Primary practice address
7005 Cortez Rd W Bradenton FL 34210-2509
Phone: (941) 465-4800
Fax: (855) 637-3923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9253515 Florida

Profile Details

NPI number 1891159752
LBN Legal business name Clark, Tatiana
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2016
Last updated Jan 19th, 2022 - about 4 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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