NPI 1003223090

Erika Clark

Practitioner Licensed Practical Nurse Dimondale, MI

Practice location

Address: 350 Elm St, Dimondale, MI 48821-9556
Phone: (517) 410-2004
Mailing address: PO Box 76, Dimondale, MI 48821-0076

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703104793 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1003223090
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2014
Record last updated: 22 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.