Individual provider · Type 1 NPI
Elisabeth Danielle Clark
Student in an Organized Health Care Education/Training Program · Saraland, AL
NPI number
1982293874
Active
Practice location
106A Saraland Loop
Saraland, AL 36571-2419
Mailing address
11551 Kali Oka Rd
Eight Mile, AL 36613-8729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | S13072 (AL) |
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 1982293874
Elisabeth Danielle Clark's National Provider Identifier is 1982293874, issued on Jan 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Saraland, AL. The record was last updated on Jan 14, 2021.