Whalio Doctors

NPI 1598163453

Craig Y Clark, RN

Practitioner Pediatric Registered Nurse Scarborough, ME

Practice location

Address
149 Spurwink Rd, Scarborough, ME 04074-8607
Phone
(207) 776-2023

Registered specialties

Pediatric Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0200X Licence RN49820 (ME)

Registry record

NPI
1598163453
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Dec 2014
Record last updated
9 Dec 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.