NPI 1023870896

Braylynn Diane Clark, APRN

Practitioner Emergency Medicine Physician Glen Dale, WV

Practice location

Address: 800 Wheeling Ave, Glen Dale, WV 26038-1660
Phone: (304) 845-3211
Mailing address: 510 Frederick St, Follansbee, WV 26037-1716

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 1113368 (WV)

Other Emergency Medicine providers in West Virginia →

Registry record

NPI: 1023870896
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2024
Record last updated: 26 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.