MR. CALVIN CLARK RN MSN ACNP-BC NPI 1811298458

NPI Information

MR. Calvin Clark, RN, MSN, ACNP-BC is an acute care nurse practitioner in Lubbock, TX. MR. Calvin Clark, RN, MSN, ACNP-BC NPI is 1811298458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

808 JOLIET AVE UNIT 220
LUBBOCK, TX
ZIP 79415-158
Phone: (806) 761-0566
Fax: (806) 744-7252

The NPI 1811298458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2010 and was last updated on 1/31/2019.

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:

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