Clark, Vivianne Muriel

Clark, Vivianne Muriel is an individual health care provider with primary practice located at 7155 E 38Th Ave , Denver CO 80207-1630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Clark, Vivianne Muriel can be contacted via phone (303) 321-7526.

Contact Information

Primary practice address
7155 E 38Th Ave Denver CO 80207-1630
Phone: (303) 321-7526
Fax: (303) 861-0268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP-291A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X CNP-01603 New Mexico

Profile Details

NPI number 1225025489
LBN Legal business name Clark, Vivianne Muriel
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Nov 3rd, 2016 - about 10 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 1225025489 NPPES
New Mexico MEDICAID 41150783
New Mexico MEDICAID 805824600
New Mexico Other NPRU3
New Mexico Other 000010029449

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