Clark, Shirley
Clark, Shirley is an individual health care provider with primary practice located at 9710 State Ave , Marysville WA 98270-2232. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Clark, Shirley can be contacted via phone (360) 653-1742.Contact Information
Primary practice address
9710 State Ave
Marysville WA 98270-2232
Phone: (360) 653-1742
Fax: (360) 653-2099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN00062095 | Washington |
Profile Details
| NPI number | 1033244942 |
|---|---|
| LBN Legal business name | Clark, Shirley |
| Credentials | AS, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033244942 | NPPES |
| Washington | MEDICAID | 7407083 |
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