Individual provider · Type 1 NPI

Carly Clark

Student in an Organized Health Care Education/Training Program · Fort Collins, CO

NPI number 1356921746 Active

Practice location

4601 S Mason St
Fort Collins, CO 80525-3740

Call (970) 493-5334 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356921746

Carly Clark's National Provider Identifier is 1356921746, issued on Apr 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Collins, CO. The record was last updated on Aug 21, 2026.