VICKI MARIE CLARK RN NPI 1972921468

NPI Information

NPI: 1972921468
Provider Name: VICKI MARIE CLARK, RN
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
6071 W OUTER DR
DETROIT, MI
ZIP 48235
Phone: (313) 966-6050
Get Directions

Vicki Marie Clark, RN is a critical care medicine registered nurse in Detroit, MI. Vicki Marie Clark, RN NPI is 1972921468. 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:

6071 W OUTER DR
DETROIT, MI
ZIP 48235-624
Phone: (313) 966-6050

The enumeration date for this NPI number is 4/1/2014 and was last updated on 4/1/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	4704212789	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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