Search › Wisconsin › 163W00000X
Nicole Clark, RN
NPI 1619486834 · on the registry since 2017 · sole proprietor
Practice
- Address
- N4093 Keehn Rd
Winter, WI 54896 - Phone
- (989) 709-1937
Additional practice sites
- E505 Hendricksen St, Stephenson, MI
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163W00000X
- Licence states on file
- MI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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 Wisconsin