IndividualActive
Christina Clark, PA
NPI 1013565498 · Physician Assistant · Sanford, ME
Provider details
- NPI number
- 1013565498
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PAN374 (ME)
Mailing address
57 James St
Wells, ME 04090-6151
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.