Search › Pennsylvania › 364SF0001X
Stephen Clark, NURSE PRACTITIONER
NPI 1083039085 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1013 E Haines St
Philadelphia, PA 19138 - Phone
- (215) 438-1095
Registry record
- Primary taxonomy
- 364SF0001X
364SF0001X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania