Individual provider · Type 1 NPI
Vicki Marie Clark, RN
Critical Care Medicine Registered Nurse · Detroit, MI
NPI number
1972921468
Active
Practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
4680 Hunters Cir W
Canton, MI 48188-2377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 4704212789 (MI) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1972921468
Vicki Marie Clark, RN's National Provider Identifier is 1972921468, issued on Apr 1, 2014. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Detroit, MI. The record was last updated on Apr 1, 2014.