Individual provider · Type 1 NPI
Andrea Clark
Primary Care Nurse Practitioner · Glenside, PA
NPI number
1992598379
Active
Practice location
721 N Tyson Ave
Glenside, PA 19038-3845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP032962 (PA) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1992598379
Andrea Clark's National Provider Identifier is 1992598379, issued on May 27, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Glenside, PA. The record was last updated on May 27, 2025.