Clark, Nancy L

Clark, Nancy L is an individual health care provider with primary practice located at 13033 Bellevue Redmond Rd #110, Bellevue WA 98005-2633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Clark, Nancy L can be contacted via phone (425) 468-6500.

Contact Information

Primary practice address
13033 Bellevue Redmond Rd #110 Bellevue WA 98005-2633
Phone: (425) 468-6500
Fax: (425) 468-6501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10003692 Washington

Profile Details

NPI number 1831230911
LBN Legal business name Clark, Nancy L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Sep 15th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831230911 NPPES
Washington Other 171527 LABOR AND INDUSTRIES

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