Clark, Alison L.
Clark, Alison L. is an individual health care provider with primary practice located at 385 Calle De Alegra Bldg C , Las Cruces NM 88005-3423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Clark, Alison L. can be contacted via phone (575) 556-8200.Contact Information
Primary practice address
385 Calle De Alegra Bldg C
Las Cruces NM 88005-3423
Phone: (575) 556-8200
Fax: (575) 521-7199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | R868545 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP03090 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 696 | New Mexico |
Profile Details
| NPI number | 1609858166 |
|---|---|
| LBN Legal business name | Clark, Alison L. |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Aug 30th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609858166 | NPPES |
| New Mexico | MEDICAID | 58003827 | |
| New Mexico | Other | 414370YRND |
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