Individual provider · Type 1 NPI

Anissa Brant Clark, RN

Case Management Registered Nurse · Roanoke, VA

NPI number 1114674645 Active

Practice location

929 Estates Rd SE
Roanoke, VA 24014-4307

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X0001226621 (VA)

Case Management Registered Nurse: Definition to come...

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About NPI 1114674645

Anissa Brant Clark, RN's National Provider Identifier is 1114674645, issued on Mar 4, 2022. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Roanoke, VA. The record was last updated on Mar 4, 2022.