Clark, Claudette Vivienne

Clark, Claudette Vivienne is an sole proprietor health care provider with primary practice located at 3851 Roger Brooke Drive Brooke Army Medical Center, Fort Sam Houston TX 78234-6200. She recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as her primary health care specialty. Clark, Claudette Vivienne can be contacted via phone (210) 916-9233.

Contact Information

Primary practice address
3851 Roger Brooke Drive Brooke Army Medical Center Fort Sam Houston TX 78234-6200
Phone: (210) 916-9233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 1-059903 Alabama

Profile Details

NPI number 1053457135
LBN Legal business name Clark, Claudette Vivienne
Credentials MSN,RN,CPNP,IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers