Marty Clark, APRN Valid NPI

Individual provider · Family Nurse Practitioner · Paducah, KY

NPI

1093473142

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

3016751 (KY)

Sex

Male

Sole proprietor

No

Enumerated

2021-12-06

Last updated

2021-12-06