Individual provider · Type 1 NPI
Shannon L. Clark, RN CCM
School Registered Nurse · Tempe, AZ
NPI number
1255052031
Active
Practice location
1115 W 5th St
Tempe, AZ 85281-2510
Fax (480) 804-0384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | 242334 (AZ) |
School Registered Nurse: Definition to come...
2 other providers at this address
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About NPI 1255052031
Shannon L. Clark, RN CCM's National Provider Identifier is 1255052031, issued on Sep 8, 2022. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Tempe, AZ. The record was last updated on Sep 8, 2022.