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Contact Information

MARY ANN S CLARK, CRNP
300 PINE GROVE COMMONS
YORK, PA17403-5176
 Phone: 717-851-5736
 Fax: 717-851-6162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARY ANN S CLARK · (Female)

NPI Number 1629006010
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/28/2006
Last updated 06/10/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP008753
  • MD Other 648377 CAREFIRST MD BCBS
  • PA Other 50054751 CAPITAL BLUE CROSS-WMG
  • PA Other 1551918 GATEWAY-WMG
  • PA Other 102499 JOHNS HOPKINS
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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