Individual provider · Type 1 NPI

Leslie Corcoran Clark, NP

Adult Health Nurse Practitioner · Boston, MA

NPI number 1700938982 Active

Practice location

55 Fruit St, Ellison 11
Boston, MA 02114-2621

Fax (617) 724-5150

Mailing address

55 Fruit Street Mgh, Ellison 11
Boston, MA 02114

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X154837 (MA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1700938982

Leslie Corcoran Clark, NP's National Provider Identifier is 1700938982, issued on Jan 17, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.