Individual provider · Type 1 NPI

David R. Clark-Coller, APRN

Acute Care Nurse Practitioner · Hartford, CT

NPI number 1417078460 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Fax (860) 545-2006

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X000396 (CT)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1417078460

David R. Clark-Coller, APRN's National Provider Identifier is 1417078460, issued on Apr 3, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hartford, CT. The record was last updated on Jul 8, 2007.