Individual provider · Type 1 NPI
Brandon Clark, NP
Acute Care Nurse Practitioner · Indianapolis, IN
NPI number
1528522083
Active
Practice location
1481 W 10th St
Indianapolis, IN 46202-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28167374A (IN) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 28167374A (IN) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1528522083
Brandon Clark, NP's National Provider Identifier is 1528522083, issued on Jan 29, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 25, 2019.