Nancy S. Clarke, M.d. Llc | |
98-211 Pali Momi St Ste 800 Aiea HI 96701-4370 | |
(808) 487-1559 | |
Not Available |
Full Name | Nancy S. Clarke, M.d. Llc |
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Speciality | Clinic/Center |
Location | 98-211 Pali Momi St Ste 800, Aiea, Hawaii |
Authorized Official Name and Position | Nancy S. Clarke (OWNER) |
Authorized Official Contact | 8084871559 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nancy S. Clarke, M.d. Llc 98-211 Pali Momi St Ste 800 Aiea HI 96701-4370 Ph: (808) 487-1559 | Nancy S. Clarke, M.d. Llc 98-211 Pali Momi St Ste 800 Aiea HI 96701-4370 Ph: (808) 487-1559 |
NPI Number | 1417592254 |
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Provider Enumeration Date | 11/15/2019 |
Last Update Date | 09/30/2020 |
Medicare PECOS PAC ID | 8527497098 |
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Medicare Enrollment ID | O20200403001749 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417592254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Nancy S Clarke |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1124224282 PECOS PAC ID: 3274713664 Enrollment ID: I20110201000882 |
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