NPI 1649033150

Anne Elizabeth Clark

Practitioner Private Vehicle Fargo, ND

Practice location

Address: 921 2nd Ave S, Fargo, ND 58103-1705
Phone: (701) 261-9391

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1649033150
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2024
Record last updated: 6 Feb 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.