Individual provider · Type 1 NPI
Heidi Marie Clark, CRNP
Adult Health Nurse Practitioner · Palo Alot, CA
NPI number
1992902282
Active
Practice location
795 El Camino Real
Palo Alot, CA 94301-2203
Fax (650) 853-4830
Mailing address
2350 W. El Camino Real, 2nd Floor
Mountain View, CA 94040-6203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 544649 (CA) |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 544649 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1992902282
Heidi Marie Clark, CRNP's National Provider Identifier is 1992902282, issued on Jun 29, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Palo Alot, CA. The record was last updated on Jan 9, 2017.