Clark, Ernestine

Clark, Ernestine is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Clark, Ernestine can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E Nizhoni Blvd Gallup NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R47430 New Mexico

Profile Details

NPI number 1114287216
LBN Legal business name Clark, Ernestine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated May 22nd, 2012 - about 14 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.

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