Individual provider · Type 1 NPI
Dorthy Carlene Clark, RN
Emergency Registered Nurse · Poplar Bluff, MO
NPI number
1508698184
Active
Practice location
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Mailing address
1356 County Road 3925
Mount Pleasant, TX 75455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 608800 (TX) |
Emergency Registered Nurse: Definition to come...
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About NPI 1508698184
Dorthy Carlene Clark, RN's National Provider Identifier is 1508698184, issued on Aug 14, 2024. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Poplar Bluff, MO. The record was last updated on Aug 14, 2024.