Most Relevant Information
Provider Data
| NPI Number: | 1003829805 |
| Provider Name: | CARLA PATRICE CLEMENTS RN, CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN342711L |
Most Important Dates
| Enumeration Date: | 08/14/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3900 WOODLAND AVE
PHILADELPHIA
PA
191044551
Practice Location Phone/Fax
| Phone: | 2158235800 |
| Fax: |
Provider Mailing Location
714 QUEST CT
MANTUA
NJ
080512282
Provider Mailing Phone/Fax
| Phone: | 8564687278 |
| Fax: |