Clark, Nicole Renee
Clark, Nicole Renee is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Nicole Renee can be contacted via phone (248) 898-4355.Contact Information
Primary practice address
3601 W 13 Mile Rd
Royal Oak MI 48073-6712
Phone: (248) 898-4355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704190098 | Michigan |
Profile Details
| NPI number | 1104021740 |
|---|---|
| LBN Legal business name | Clark, Nicole Renee |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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