NPI 1689432106

Coraine Clarke, MA

Practitioner Nurse's Aide South Prince George, VA

Practice location

Address: 10543 S Crater Rd, South Prince George, VA 23805-7333
Phone: (800) 805-6989
Mailing address: 126 S Old Church St, Petersburg, VA 23803-3556

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1689432106
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2024
Record last updated: 8 Mar 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.