Marlene L Clark is a School in Mesa, Arizona. Marlene L Clark practices all healthcare services and medical treatments related to School. The NPI Number for Marlene L Clark is 1720293897. The last update date is 2007-07-09.
Marlene L Clark's current location address is 1025 N Country Club Dr, Mesa, Arizona. You can contact this provider via phone number 4804720502. The mailing address for Marlene L Clark is 1025 N Country Club Dr, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene L Clark |
|---|---|
| Address | 1025 N Country Club Dr, Mesa, Arizona |
| Phone Number | 4804720502 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720293897 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1025 N Country Club Dr |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852013307 |
| Phone Number | 4804720502 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 163Ws0200X |
| Licence No | RN092499 |
|
Definition: A registered nurse based at an elementary, middle or high school providing health services to students. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 623810 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marlene L Clark by the Centers for Medicare & Medicaid Services?
The Marlene L Clark has been assigned the NPI (National Provider Identifier) 1720293897. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Marlene L Clark located?
The Marlene L Clark is located at 1025 N Country Club Dr, Mesa, AZ 852013307.
What is Marlene L Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marlene L Clark is School, and the taxonomy code that categorizes this field of expertise is 163Ws0200X.
On what date did the Marlene L Clark receive its 1720293897 assignment from the Centers for Medicare & Medicaid Services?
The Marlene L Clark was assigned its 1720293897 by the Centers for Medicare & Medicaid Services on 2007-05-11.
When was the information regarding Marlene L Clark most recently updated?
The details pertaining to the Marlene L Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.