Individual provider · Type 1 NPI
Madison R. Clark, NP
Acute Care Nurse Practitioner · New York, NY
NPI number
1053950972
Active
Practice location
1275 York Ave
New York, NY 10065-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F431601-01 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1053950972
Madison R. Clark, NP's National Provider Identifier is 1053950972, issued on Dec 23, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on May 11, 2020.