KRYSTA CLARK, NP
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1366094914
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - General Practice | 163WG0000X | No | 544669 (NY) |
| Nurse Practitioner - Family | 363LF0000X | No | APRN11018536 (FL) |
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | APRN11018536 (FL) |
Frequently Asked Questions
NPI 1366094914 is the National Provider Identifier for KRYSTA CLARK, NP, a Nurse Practitioner - Gerontology provider located in Winter Haven, FL. This NPI was enumerated on July 14, 2019.
KRYSTA CLARK, NP practices at 400 AVENUE F SE FL 1, Winter Haven, FL 33880.
Quick Facts
- NPI
- 1366094914
- Type
- Individual
- Enumerated
- Jul 14, 2019
- Last Updated
- Jul 8, 2024
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