Individual provider · Type 1 NPI
Tara Clark, PMHDNP
Psychiatric/Mental Health Nurse Practitioner · Chandler, AZ
NPI number
1083199269
Active
Practice location
600 S Dobson Rd Ste E36
Chandler, AZ 85224-5693
Mailing address
1143 W Lantana Dr
Chandler, AZ 85248-3719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2018023496 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1083199269
Tara Clark, PMHDNP's National Provider Identifier is 1083199269, issued on Oct 3, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chandler, AZ. The record was last updated on Oct 3, 2018.