Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ROSE M CLARK, NP
ActiveAdult Health Nurse Practitioner · CLARKSBURG, WV
Registration Details
- NPI Number
- 1821271008
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2007 (18.358752396316 yrs)
- Last Updated
- Mar 30, 2010
- License
-
24387 (WV)
Practice Information
- Address
-
489 WASHINGTON AVECLARKSBURG, WV, 263012825Browse WV providers · Browse ZIP 26301
- Phone
- 3046222708
- Fax
- 3046239302
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
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.