National Provider Identifier
Mandy Clark, NP
Mandy Clark, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-4130.
Profile Overview
- NPI
- 1740616846
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- September 20, 2013
- Last Updated
- September 29, 2021
Practice Location
- 600 Roe Ave Ste 1A
- Elmira, NY 14905-1676
Phone: (607) 737-4130
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Nurse Practitioner (363L00000X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1740616846
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Mandy
- Name Prefix
- Mrs.
- Credential
- NP
- Provider Other Last Name
- Steiner
- Provider Other First Name
- Mandy
- Provider Other Credential Text
- NP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 600 Roe Ave Ste 1A
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1676
- Practice Country
- US
- Practice Phone
- (607) 737-4130
- Practice Fax
- (607) 737-4530
- Enumeration Date
- September 20, 2013
- Last Updated
- September 29, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 29, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Nurse Practitioner (363L00000X)
- Other Identifiers
- 03802251 (NY)