Clark, Vivian

Clark, Vivian is an individual health care provider with primary practice located at 11855 Parkgate Dr , Nokesville VA 20181-2719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Vivian can be contacted via phone (571) 379-1228.

Contact Information

Primary practice address
11855 Parkgate Dr Nokesville VA 20181-2719
Phone: (571) 379-1228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024189931 Virginia

Profile Details

NPI number 1699528117
LBN Legal business name Clark, Vivian
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2024
Last updated May 29th, 2024 - about 2 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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