| Carol E Clark, CRNA | |
|
111 S Front St, Harrisburg, PA 17101-2010 | |
| (717) 782-5470 | |
| (717) 782-5820 |
| Full Name | Carol E Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 111 S Front St, Harrisburg, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548362601 | NPI | - | NPPES |
| 778104 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN-126836-L (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN126836L (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Carol E Clark, CRNA 118 Washington St, Harrisburg, PA 17104-1677 Ph: () - | Carol E Clark, CRNA 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 782-5470 |
Mrs. Holly Ann Maley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Ms. Alicia K Stidfole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Patrick Dougherty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 Fax: 717-782-5854 | |
Diane E Geise, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5470 Fax: 717-782-5820 | |
Jessica E Rybinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-231-8919 | |
Slim Ben M Aouadhi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd, Harrisburg, PA 17109 Phone: 717-782-5118 Fax: 717-782-5854 | |
Maria R Symonies, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5470 Fax: 717-782-5820 |