NPI 1215519814

Desa Mariah Clark, APRN

Practitioner Family Nurse Practitioner Fremont, NE

Practice location

Address: 2560 N Healthy Way, Fremont, NE 68025-2315
Phone: (402) 941-7245
Mailing address: 605 E Thomsen St, Fremont, NE 68025-9235

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 113657 (NE)

Other Nurse Practitioner providers in Nebraska →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 64709 (NE)

Other Registered Nurse providers in Nebraska →

Registry record

NPI: 1215519814
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2021
Record last updated: 7 Jul 2021

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.