Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA CLARK
Active Sole ProprietorANDREA CLARK is a Primary Care Nurse Practitioner healthcare provider located in GLENSIDE, Pennsylvania. NPI 1992598379 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · GLENSIDE, PA
Registration Details
- NPI Number
- 1992598379
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2025 (1.2252690390101 yrs)
- Last Updated
- May 27, 2025
- License
-
SP032962 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
721 N TYSON AVEGLENSIDE, PA, 190383845Browse PA providers · Browse ZIP 19038
- Phone
- 2679218158
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
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.