Individual provider · Type 1 NPI

Julie Clark, RN

Community Health Registered Nurse · Pueblo, CO

NPI number 1104238989 Active

Practice location

1026 W Abriendo Ave
Pueblo, CO 81004-1128

Call (719) 545-2746 Map

Mailing address

1304 Chinook Ln
Pueblo, CO 81001-1851

Specialties and licenses

Taxonomy	Code	License
Community Health Registered Nurse Primary	163WC1500X	RN.0108676 (CO)

Community Health Registered Nurse: Definition to come...

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About NPI 1104238989

Julie Clark, RN's National Provider Identifier is 1104238989, issued on May 28, 2014. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Pueblo, CO. The record was last updated on May 28, 2014.