| Mrs Theresa Ann Clark, FNP-BC | |
|
420 N Main St, Middlebury, IN 46540-8985 | |
| (574) 825-3400 | |
| Not Available |
| Full Name | Mrs Theresa Ann Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 420 N Main St, Middlebury, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548893506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28108427A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa Ann Clark, FNP-BC 69014 Tamarack Rd, Walkerton, IN 46574-9735 Ph: () - | Mrs Theresa Ann Clark, FNP-BC 420 N Main St, Middlebury, IN 46540-8985 Ph: (574) 825-3400 |
Mrs. Amy Elizabeth Hoffman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 Us Highway 20, Middlebury, IN 46540 Phone: 574-825-8068 | |
Julie Ann Hartzler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1200 W, Middlebury, IN 46540 Phone: 574-825-3888 | |
Leeann Marie Enix, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-358-0042 Fax: 574-358-0157 | |
Andrea N Carroll, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-358-0042 Fax: 574-358-0157 | |
Janet E. Kercher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 W Warren St, Middlebury, IN 46540 Phone: 574-825-2146 Fax: 574-524-7435 | |
Mrs. Emily Elizabeth Shaver, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1200 W, Middlebury, IN 46540 Phone: 574-825-3888 Fax: 574-318-3358 |