Individual provider · Type 1 NPI
Susan Clark, RN, CDE
Diabetes Educator Registered Nurse · Baltimore, MD
NPI number
1619215225
Active
Practice location
5601 Loch Raven Blvd, Good Health Center, O'neil Bldg 2nd Fl
Baltimore, MD 21239-2945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | RN144178 (MD) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1619215225
Susan Clark, RN, CDE's National Provider Identifier is 1619215225, issued on Jan 17, 2013. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Baltimore, MD. The record was last updated on Jan 17, 2013.