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Contact Information

BRENDA J CLARK, ARNP FAMILY NURSE PR
2312 RIDGEWAY AVE
OSKALOOSA, IA52577-9109
 Phone: 515-720-9903
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRENDA J CLARK · (Female)

NPI Number 1629373881
Status Active
Credentials ARNP FAMILY NURSE PR
Entity Individual
Enumeration date 01/20/2011
Last updated 06/22/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # A-106433
  • IA License # A106433
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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