Individual provider · Type 1 NPI

Charles Clark

Certified Registered Nurse Anesthetist · Baltimore, MD

NPI number 1265023535 Active

Practice location

3001 S Hanover St
Baltimore, MD 21225-1233

Mailing address

1365 Old Westminster Rd
Westminster, MD 21157-6712

Other practice locations

  • 1701 Innovation Dr, York, PA 17408-8815 · (717) 843-8623

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN702962 (PA)
Certified Registered Nurse Anesthetist 367500000XRN702962 (PA)
Certified Registered Nurse Anesthetist Primary 367500000XR217337 (MD)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1265023535

Charles Clark's National Provider Identifier is 1265023535, issued on Jan 29, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 24, 2024.