Clark, Nancy S
Clark, Nancy S is an sole proprietor health care provider with primary practice located at 390 Calle De Alegra , Las Cruces NM 88005-3280. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Clark, Nancy S can be contacted via phone (575) 556-8150.Contact Information
Primary practice address
390 Calle De Alegra
Las Cruces NM 88005-3280
Phone: (575) 556-8150
Fax: (505) 556-8159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 4923 | New Mexico |
Profile Details
| NPI number | 1740440809 |
|---|---|
| LBN Legal business name | Clark, Nancy S |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2008 |
| Last updated | Jun 12th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740440809 | NPPES |
| New Mexico | MEDICAID | 95147 |
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