Individual provider · Type 1 NPI
Tabitha Rynn Clark, CNP
Primary Care Nurse Practitioner · Arthurdale, WV
NPI number
1124762695
Active
Practice location
519 G Road
Arthurdale, WV 26520
Mailing address
110 Williams St
Kingwood, WV 26537-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 112519 (WV) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1124762695
Tabitha Rynn Clark, CNP's National Provider Identifier is 1124762695, issued on Apr 21, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Arthurdale, WV. The record was last updated on Sep 29, 2022.