Individual provider · Type 1 NPI
Charles William Clark
Psychiatric/Mental Health Registered Nurse · Stow, OH
NPI number
1235848649
Active
Practice location
4175 Chesterland Blvd
Stow, OH 44224-1820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 406677 (OH) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1235848649
Charles William Clark's National Provider Identifier is 1235848649, issued on Nov 15, 2022. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Stow, OH. The record was last updated on Nov 15, 2022.