Individual provider · Type 1 NPI

Nicole Clark, RN

Registered Nurse · Winter, WI

NPI number 1619486834 Active

Practice location

N4093 Keehn Rd
Winter, WI 54896-7312

Other practice locations

  • E505 Hendricksen St, Stephenson, MI 49887-8930 · (989) 709-1937

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704325266 (MI)
Registered Nurse Primary 163W00000X233138 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

About NPI 1619486834

Nicole Clark, RN's National Provider Identifier is 1619486834, issued on Sep 20, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Winter, WI. The record was last updated on Mar 17, 2018.