Individual provider · Type 1 NPI

Myra Leslie Clark, PhD, NP-C

Family Nurse Practitioner · Mechanicsville, VA

NPI number 1629228093 Active

Practice location

7048 Mechanicsville Tpke
Mechanicsville, VA 23111-7101

Call (804) 730-9498 Map

Fax (804) 569-7967

Mailing address

2485 Ranson Ct
Charlottesville, VA 22911-8622

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024170893 (VA)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

Other family nurse practitioner providers in Mechanicsville

See all in Mechanicsville →

About NPI 1629228093

Myra Leslie Clark, PhD, NP-C's National Provider Identifier is 1629228093, issued on Sep 23, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mechanicsville, VA. The record was last updated on Oct 11, 2013.