DESA CLARK, APRN
Nurse Practitioner - Family
Active
Individual
NPI: 1215519814
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 64709 (NE) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 113657 (NE) |
Frequently Asked Questions
NPI 1215519814 is the National Provider Identifier for DESA CLARK, APRN, a Nurse Practitioner - Family provider located in Fremont, NE. This NPI was enumerated on April 22, 2021.
DESA CLARK, APRN practices at 2560 N HEALTHY WAY, Fremont, NE 68025.
Quick Facts
- NPI
- 1215519814
- Type
- Individual
- Enumerated
- Apr 22, 2021
- Last Updated
- Jul 7, 2021
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