| Doctor Name: | MS. MAUREEN LAUREN CLANCY |
| NPI Number: | 1033192323 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 2566322 |
| Business Practice Address: | 6200 Sunset Dr Suite 304 South Miami, FL - 331434828 |
| Business Phone Number: | 3056621550 |
| Business Fax Number: | 3056625930 |
| Mailing Address: | 3034 Ne Quayside Ln, MIAMI SHORES |
| State: | FL |
| Postal Code: | 331382258 |
| Phone Number: | 3053899487 |
| Fax Number: | 7866625314 |
| NPI Enumeration Date: | 11/21/2005 |
| NPI Last Update Date: | 08/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2566322 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |