Samuela Clark in Phoenix - Licensed Vocational Nurse
Samuela Clark - NPI 1386837912
Samuela Clark is a Licensed Vocational Nurse in Phoenix, Arizona. Samuela Clark practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Samuela Clark is 1386837912. The last update date is 2007-08-27.
Samuela Clark's current location address is 6306 N 7th St, Phoenix, Arizona. You can contact this provider via phone number 6022795801. The mailing address for Samuela Clark is 6306 N 7th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuela Clark |
|---|---|
| Address | 6306 N 7th St, Phoenix, Arizona |
| Phone Number | 6022795801 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LVN |
NPI Number Detail
| NPI Number | 1386837912 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2007-08-27 |
Provider Mailing Address Detail
| Address | 6306 N 7th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850141549 |
| Phone Number | 6022795801 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Vocational Nurse |
|---|---|
| Taxonomy | 164X00000X |
| Licence No | VN192674 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 214634 | AZ | AHCCCS | |
| VN192674 | CA | CA LVN LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Samuela Clark?
The Samuela Clark has been issued the NPI (National Provider Identifier) 1386837912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Samuela Clark is physically located?
The Samuela Clark is situated at the following address: 6306 N 7Th St, Phoenix, AZ 850141549.
What is Samuela Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Samuela Clark is Licensed Vocational Nurse, and the taxonomy code that categorizes this field of expertise is 164X00000X.
On what date did the Samuela Clark receive the assignment of its 1386837912 from the Centers for Medicare & Medicaid Services?
The Samuela Clark was issued its 1386837912 by the Centers for Medicare & Medicaid Services on 2007-08-27.
When was the information regarding Samuela Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Samuela Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-27.
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