Individual provider · Type 1 NPI
Rochelle Crystal Clark, NP
Family Nurse Practitioner · Edgewood, MD
NPI number
1942805577
Active
Practice location
1707 Judy Way
Edgewood, MD 21040-1832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R218420 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1942805577
Rochelle Crystal Clark, NP's National Provider Identifier is 1942805577, issued on Dec 1, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edgewood, MD. The record was last updated on Dec 2, 2020.