MS. MYRLITA SHAWN CLARK (NPI# 1871729889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871729889 |
| Entity Type | Individual |
| Full Name | MS. MYRLITA SHAWN CLARK |
| Credential | NP,C |
| Practice Address |
1999 W Hunting Park Ave Philadelphia PA 19140-2828 |
| Mailing Address |
432 N 6th St Philadelphia PA 19123-4004 |
| Practice Telephone | 2152289300 |
| Practice Fax Number | 2152289913 |
| Mailing Telephone | 2159252400 |
| Mailing Fax Number | 2159259162 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SPO10333 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1999 W HUNTING PARK AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063466068 | Greater Philadelphia Health Action, Inc. | Family Medicine | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2006-05-22 |
| 1558903641 | Universal Pharmacyservices, LLC | Pharmacy | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2019-10-10 |
| 1437613395 | Naeemah Selby | Family Medicine | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2019-01-24 |
| 1841797404 | Gill Obiageli Ofoma | Family Medicine | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2018-04-10 |
| 1205346400 | Elizabeth Warren | Nurse Practitioner | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2017-10-03 |
| 1659720290 | Annette Redguard | Nurse Practitioner | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2016-06-04 |
| 1346619111 | Rebecca Weaver | Social Worker | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2015-09-22 |
| 1699108688 | Linda Hobbs | Counselor | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2013-08-14 |
| 1932415841 | Cara Orr | Family Medicine | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2010-08-30 |
| 1881907673 | Nausheen Hussain | Family Medicine | 1999 W Hunting Park Ave, Philadelphia, PA 19140-2828 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1235696741 | Divya Rebecca Roberts | Nurse Practitioner | 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 | 2019-02-21 |
| 1770073090 | Eboni Simmons | Nurse Practitioner | 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 | 2018-05-11 |
| 1780180620 | Natalie Clarke | Nurse Practitioner | 7727 Overbrook Ave, Philadelphia, PA 19151-2016 | 2018-03-31 |
| 1396240792 | Barbara Ann Young | Nurse Practitioner | 15054 Carter Rd, Philadelphia, PA 19116-1503 | 2018-03-27 |
| 1780182451 | Kelly Ann Joyce | Nurse Practitioner | 5225 Arendell Ave, Philadelphia, PA 19114-4229 | 2018-01-29 |
| 1699273615 | Dana Patricia Ridley | Nurse Practitioner | 2024 Emily St, Philadelphia, PA 19145-2823 | 2018-01-24 |
| 1497205157 | Sinu Satheeshbabu Nair | Nurse Practitioner | 9285 Darlington Rd, Philadelphia, PA 19115-2734 | 2016-10-06 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
Please comment or provide details below to improve the information on MS. MYRLITA SHAWN CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.