AMY MARIE CLARK IDC NPI 1558707984

NPI Information

Amy Marie Clark, IDC is an independent duty corpsman military health care provider in Suffolk, VA. The provider is a Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. Amy Marie Clark, IDC NPI is 1558707984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

260 BARNES RD
SUFFOLK, VA
ZIP 23437
Phone: (757) 652-1981

The enumeration date for this NPI number is 5/13/2013 and was last updated on 5/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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