Clark, Shannon L

Clark, Shannon L is an individual health care provider with primary practice located at 1115 W 5Th St , Tempe AZ 85281-2510. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Clark, Shannon L can be contacted via phone (480) 929-9909.

Contact Information

Primary practice address
1115 W 5Th St Tempe AZ 85281-2510
Fax: (480) 804-0384
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 242334 Arizona

Profile Details

NPI number 1255052031
LBN Legal business name Clark, Shannon L
Credentials RN CCM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2022
Last updated Sep 8th, 2022 - about 2 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.

Request for update

Popular Providers