Individual provider · Type 1 NPI

Abigail Rose Clark

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1942052691 Active

Practice location

1000 Blythe Blvd Fl 4
Charlotte, NC 28203-5871

Call (704) 381-6800 Map

Mailing address

1010 Kenilworth Ave Apt 346
Charlotte, NC 28204-3472

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942052691

Abigail Rose Clark's National Provider Identifier is 1942052691, issued on Apr 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 15, 2024.