Maya Nicole Clark, PHD, ACNP-BC is an acute care nurse practitioner in Philadelphia, PA with 18 years of experience. Maya Nicole Clark, PHD, ACNP-BC NPI is 1760555957. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
700 SPRUCE ST
STE. 507
PHILADELPHIA, PA
ZIP 19106-022
Phone: (215) 829-8455
Fax: (215) 829-8431
The NPI 1760555957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/16/2006 and was last updated on 2/9/2015.