NPI Profile for TONI E CLARKE in GALLUP, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1942831987 |
|
| Status | Active | |
| Credentials | MSN, APRN, AGNP-C | |
| Entity | Individual | |
| Enumeration date | 01/29/2020 | |
| Last updated | 06/09/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TONI E CLARKE
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