Elise Diane Clark, FNP BC Valid NPI

Individual provider · Nurse Practitioner · Delphos, OH

NPI

1184619595

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

APRN.CNP.06689 (OH)

Sex

Female

Sole proprietor

No

Enumerated

2005-09-13

Last updated

2026-04-29