Clarke, Mara M

Clarke, Mara M is an individual health care provider with primary practice located at 515 Valley View Dr Suite 103, Moline IL 61265-6175. 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. Clarke, Mara M can be contacted via phone (309) 757-1252.

Contact Information

Primary practice address
515 Valley View Dr Suite 103 Moline IL 61265-6175
Phone: (309) 757-1252
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1174619480
LBN Legal business name Clarke, Mara M
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 19 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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