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NPI 1396489613 · live from the CMS NPI Registry

Paul Clarke, CRNP PC

Nurse Practitioner, Pediatrics in Birmingham, AL. National Provider Identifier 1396489613, active.

NPI record

NPI1396489613 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1600 7th Ave S, Birmingham, AL 35233
Practice phone205-638-9387
Mailing address1600 7th Ave S Ste 102, Birmingham, AL 35233
EnumeratedApril 22, 2022
Last updatedApril 22, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X1-137604 (AL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.