Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TONY LEE CLARK, NP
Active Sole ProprietorFamily Nurse Practitioner · HATCH, NM
Registration Details
- NPI Number
- 1659869659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2018 (7.9892765607167 yrs)
- Last Updated
- Jan 11, 2024
- License
-
75659 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
610 RED HILLS ROADHATCH, NM, 87937Browse NM providers · Browse ZIP 87937
- Phone
- 5755200292
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.