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Contact Information

MAR Y L CLEMSON, RNCS
602 MASSACHUSETTS AVE
NORFOLK, VA23508-2118
 Phone: 757-622-6673
 Fax: 757-622-6673
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for MAR Y L CLEMSON · (Female)

NPI # 1750563086
Status Active
Credentials RNCS
Entity Individual
Enumeration date 11/28/2007
Last updated 03/26/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 1193801
  • VA Other 101867 ANTHEM GROUP
  • VA Other 101868 ANTHEM INDIVIDUAL
  • VA Other C08982 MEDICARE
  • VA Other P00071810 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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