Andrea Clark

NPI # 

Practice Address:

721 N Tyson Ave

Glenside, PA, 19038-3845

Practice Phone:

267-921-8158

License Number:

SP032962

License State:

PA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Primary Care

Taxonomy Code:

363LP2300X

Updated by NPPES on 5/27/2025. You can view the original data set for NPI # 1992598379 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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