Clark, Heidi Marie

Clark, Heidi Marie is an individual health care provider with primary practice located at 795 El Camino Real , Palo Alot CA 94301-2203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Clark, Heidi Marie can be contacted via phone (650) 853-2268.

Contact Information

Primary practice address
795 El Camino Real Palo Alot CA 94301-2203
Phone: (650) 853-2268
Fax: (650) 853-4830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 544649 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 544649 California

Profile Details

NPI number 1992902282
LBN Legal business name Clark, Heidi Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Jan 9th, 2017 - 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.

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