National Provider Identifier
Kristine Nicole Clark, DNP, ANP-C
Kristine Nicole Clark, DNP, ANP-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 760-5469.
Profile Overview
- NPI
- 1861707192
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 11, 2010
- Last Updated
- June 28, 2023
Practice Location
- 435 E Henrietta RD
- Box Shg
- Rochester, NY 14620-4629
Phone: (585) 760-5469
Mailing Address
- 435 E Henrietta RD
- Rochester, NY 14620-4629
Specialties
- Physician Assistant (363A00000X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1861707192
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Kristine
- Middle Name
- Nicole
- Credential
- DNP, ANP-C
- Mailing Street Address
- 435 E Henrietta RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4629
- Mailing Country
- US
- Mailing Phone
- (585) 760-5466
- Mailing Fax
- (585) 424-4184
- Practice Street Address
- 435 E Henrietta RD
- Practice Address Line 2
- Box Shg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4629
- Practice Country
- US
- Practice Phone
- (585) 760-5469
- Practice Fax
- (585) 424-4184
- Enumeration Date
- August 11, 2010
- Last Updated
- June 28, 2023
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Physician Assistant (363A00000X), Nurse Practitioner (363L00000X)