Individual provider · Type 1 NPI

Tony Lee Clark, NP

Family Nurse Practitioner · Hatch, NM

NPI number 1659869659 Active

Practice location

610 Red Hills Road
Hatch, NM 87937

Call (575) 520-0292 Map

Mailing address

4542 Montgomery
Albuquerque, NM 87109

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	75659 (NM)

Family Nurse Practitioner: Definition to come...

About NPI 1659869659

Tony Lee Clark, NP's National Provider Identifier is 1659869659, issued on Apr 25, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hatch, NM. The record was last updated on Jan 11, 2024.