Individual provider · Type 1 NPI

Shana Clark, RN

Registered Nurse · Oak Park, MI

NPI number 1861004319 Active

Practice location

25900 Greenfield Rd Ste 414
Oak Park, MI 48237-1267

Call (248) 242-1193 Map

Mailing address

23745 Rockingham St
Southfield, MI 48033-7025

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	4704307625 (MI)

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…

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About NPI 1861004319

Shana Clark, RN's National Provider Identifier is 1861004319, issued on Aug 17, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Oak Park, MI. The record was last updated on Aug 17, 2020.