Andrea Clark
Andrea Clark is a Nurse Practitioner in Glenside, Pennsylvania. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.
- Years since qualifying
- 5
- Licensed in
- PA
- In the registry since
- 2025
Practice location Address checks out
721 N Tyson AveGlenside, PA 19038-3845
Phone: (267) 921-8158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence SP032962 (PA) |
|---|
Record details
| NPI number | 1992598379 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2025 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |