NPI 1225263072

Adrienne L Clark, IDMT

Practitioner Independent Duty Medical Technicians Las Vegas, NV

Practice location

Address: 5154 Ellsworth Ave Suite 61690, Las Vegas, NV 89191
Phone: (702) 652-3507
Mailing address: 5154 Ellsworth Ave Bldg 61690, Las Vegas, NV 89191

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Nevada →

Registry record

NPI: 1225263072
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2009
Record last updated: 22 May 2009

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.