Individual provider · Type 1 NPI
Williette Clark
Licensed Practical Nurse · Montgomery Village, MD
NPI number
1174984934
Active
Practice location
9311 Willow Creek Dr, Apt F
Montgomery Village, MD 20886-0422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 1003182 (DC) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1174984934
Williette Clark's National Provider Identifier is 1174984934, issued on Mar 8, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Montgomery Village, MD. The record was last updated on Mar 8, 2016.