Clark, Whitney Nicole
Clark, Whitney Nicole is an individual health care provider with primary practice located at 1140 S Knoxville Ave Ste B , Saint Marys OH 45885-2609. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Clark, Whitney Nicole can be contacted via phone (419) 394-7314.Contact Information
Primary practice address
1140 S Knoxville Ave Ste B
Saint Marys OH 45885-2609
Phone: (419) 394-7314
Fax: (419) 394-7313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | APRN.CNM.019373 | Ohio |
Profile Details
NPI number | 1033605431 |
---|---|
LBN Legal business name | Clark, Whitney Nicole |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2018 |
Last updated | Jul 28th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033605431 | NPPES |
Ohio | MEDICAID | 0300634 |
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