Clark, Nancy S

Clark, Nancy S is an sole proprietor health care provider with primary practice located at 390 Calle De Alegra , Las Cruces NM 88005-3280. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Clark, Nancy S can be contacted via phone (575) 556-8150.

Contact Information

Primary practice address
390 Calle De Alegra Las Cruces NM 88005-3280
Fax: (505) 556-8159
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 4923 New Mexico

Profile Details

NPI number 1740440809
LBN Legal business name Clark, Nancy S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2008
Last updated Jun 12th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740440809 NPPES
New Mexico MEDICAID 95147

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