SearchAlabama163W00000X

Theresa Clark, REGISTERED NURSE

NPI 1003056383 · on the registry since 2009 · sole proprietor

Practice

Address
1900 Carriage Dr
Phenix City, AL 36867
Phone
(706) 289-9327
Fax
(888) 547-2536

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama