Michael Anthony Clark, R.N.
General Practice Registered Nurse · Mather, CA
Practice location
10535 Hospital WayMather, CA 95655-4200
- Phone
- (916) 366-5410
NPI record
- NPI
- 1255478111
- Entity type
- Individual (Type 1)
- Enumeration date
- January 31, 2007
- Last updated
- June 29, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X |
741297 | CA |
| Case Management Registered Nurse | 163WC0400X |
RN 199634 | OH |
| Emergency Registered Nurse | 163WE0003X |
741297 | CA |
| Critical Care Medicine Registered Nurse | 163WC0200X |
741297 | CA |
Mailing address
1780 Creekside DrApt: 2424
Folsom, CA 95630-3838
- Phone
- (513) 638-5232
About Michael Clark
Michael Anthony Clark, R.N. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Registered Nurse (code 163WG0000X). The practice location is 10535 Hospital Way, Mather, CA 95655-4200. The NPI number 1255478111 was assigned on January 31, 2007 and the record was last updated on June 29, 2012.
Michael Clark lists 4 licenses in the registry: #741297 (CA) for General Practice Registered Nurse; #RN 199634 (OH) for Case Management Registered Nurse; #741297 (CA) for Emergency Registered Nurse; #741297 (CA) for Critical Care Medicine Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael Anthony Clark, R.N.?
The NPI number is 1255478111.
What is the phone number of Michael Clark?
The phone number listed for the practice location is (916) 366-5410.
Where is Michael Clark located?
10535 Hospital Way, Mather, CA 95655-4200.
What is the taxonomy code for Michael Clark?
The primary taxonomy code is 163WG0000X – General Practice Registered Nurse; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Registered Nurse providers in Mather
- Amanda Lee John Titus, RN10535 Hospital Way
- Peggy Jensen, RN10535 Hospital Way
All General Practice Registered Nurse providers in Mather, CA →