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Contact Information

CHRISTINA S CLARK, ACNP
1001 LAKESIDE AVE E
SUITE 1000
CLEVELAND, OH44114-1158
 Phone: 216-217-3451
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for CHRISTINA S CLARK · (Female)

NPI Number 1174771471
Status Active
Credentials ACNP
Entity Individual
Enumeration date 08/29/2008
Last updated 07/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # NP10073
  • OH License # RN314321
  • OH Medicaid 2957715
Hospital affiliation(s)
  • SUMMA HEALTH SYSTEMS HOSPITALS - (Acute Care)
    525 EAST MARKET STREET
    AKRON, OH 44309
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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