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

SAMUEL CLARK, AGACNP

Active

SAMUEL CLARK, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in NEWARK, Delaware. NPI 1417706623 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · NEWARK, DE

Registration Details

NPI Number
1417706623
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2024 (2.0470844253175 yrs)
Last Updated
Jul 12, 2024
Licenses
L1-0048020 (DE)
LP-0010513 (DE)
LP-0010513 (DE)

Practice Information

Address
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE, 197182200
Browse DE providers · Browse ZIP 19718
Phone
3027335982
Fax
3027336081
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in NEWARK, DE

Name Credential NPI
DR. NANCY LEE GAINES-DILLARD DNP, APRN-BC 1417961228
YOUNGJA MOORE NP 1295038222
REBECCA E MACINTYRE NP 1679812739
NAOKO NAKAMURA NP 1457693418
SHANNA MARIE AMOROSO ACNP 1730519372
JONATHAN ARIANO AGACNP-BC 1295131688
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.