Individual provider · Type 1 NPI

Clark Hanawalt

Critical Care Medicine Registered Nurse · Madison, TN

NPI number 1730903345 Active

Practice location

315 Hospital Dr
Madison, TN 37115-5030

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X0000227653 (TN)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1730903345

Clark Hanawalt's National Provider Identifier is 1730903345, issued on Nov 11, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Madison, TN. The record was last updated on Nov 11, 2024.