Doctor Name: | LENORE M CLARKE |
NPI Number: | 1205954773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | RN300893L |
Business Practice Address: | 301 Penn Ave Reading, PA - 196111128 |
Business Phone Number: | 6103729222 |
Business Fax Number: | |
Mailing Address: | 320 Creek Crossing Ln, CHESTER SPRINGS |
State: | PA |
Postal Code: | 194251726 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN300893L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |