Clark, Vivianne Muriel
Clark, Vivianne Muriel is an individual health care provider with primary practice located at 7155 E 38Th Ave , Denver CO 80207-1630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Clark, Vivianne Muriel can be contacted via phone (303) 321-7526.Contact Information
Primary practice address
7155 E 38Th Ave
Denver CO 80207-1630
Phone: (303) 321-7526
Fax: (303) 861-0268
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | NP-291A | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | CNP-01603 | New Mexico |
Profile Details
NPI number | 1225025489 |
---|---|
LBN Legal business name | Clark, Vivianne Muriel |
Credentials | Women's Health Nurse Practitioner (WHNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2005 |
Last updated | Nov 3rd, 2016 - about 8 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 | 1225025489 | NPPES |
New Mexico | MEDICAID | 41150783 | |
New Mexico | MEDICAID | 805824600 | |
New Mexico | Other | NPRU3 | |
New Mexico | Other | 000010029449 |
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