Individual provider · Type 1 NPI

Dorothy Margaret Clark

Licensed Practical Nurse · Richmond, MI

NPI number 1205969359 Active

Practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Mailing address

2575 Capac Rd.
Berlin, MI 48002-1203

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703051240 (MI)

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.

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About NPI 1205969359

Dorothy Margaret Clark's National Provider Identifier is 1205969359, issued on Mar 14, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Richmond, MI. The record was last updated on Jul 8, 2007.