Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maya Nicole Clark, PHD, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1760555957

Maya Nicole Clark, PHD, ACNP-BC is an Acute Care Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

700 Spruce St Ste 507
Philadelphia, PA 19106-4022
Phone: (215) 829-8455
Fax: (215) 829-8431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP009244 (PA)

Record details

NPI number1760555957
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , ACNP-BC
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESFebruary 9, 2015

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