Individual provider · Type 1 NPI
Angela Cecile Clark, DNP-FNP
Student in an Organized Health Care Education/Training Program · Grosse Pointe Park, MI
NPI number
1073485553
Active
Practice location
1109 Bishop Rd
Grosse Pointe Park, MI 48230-1422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 4704198035 (MI) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1073485553
Angela Cecile Clark, DNP-FNP's National Provider Identifier is 1073485553, issued on Sep 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grosse Pointe Park, MI. The record was last updated on Sep 23, 2025.