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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL THOMAS CLARK, CRNP

Active

MICHAEL THOMAS CLARK, CRNP is a Nurse Practitioner healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1366547515 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PHILADELPHIA, PA

Registration Details

NPI Number
1366547515
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2006 (19.957303142907 yrs)
Last Updated
May 9, 2012
License
SP00179H (PA)

Practice Information

Address
3400 SPRUCE ST
GROUND SILVERSTEIN
PHILADELPHIA, PA, 191044206
Browse PA providers · Browse ZIP 19104
Phone
2156626963
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in PHILADELPHIA, PA

Name Credential NPI
DEBRA MCGRATH C.R.N.P. 1043213671
BINH LUONG APPLEGATE C.R.N.P. 1063415610
LESTER COHEN C.R.N.P. 1497758965
MS. SARA L. ALLEN CRNP 1063410793
JOANNE HENNING CRNP 1497747109
MRS. CHERYL E JONES CNP 1437145752
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.