Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONNA M CLARK, GNP
ActiveDONNA M CLARK, GNP is a Gerontological Nurse Practitioner healthcare provider located in VISTA, California. NPI 1104832617 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · VISTA, CA
Registration Details
- NPI Number
- 1104832617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2006 (20.070188371846 yrs)
- Last Updated
- Aug 2, 2013
- Licenses
-
RN485608 (CA)RN485608 (CA)RN485608 (CA)6328 (CA)
Practice Information
- Address
-
130 CEDAR RD STE 200VISTA, CA, 920835102Browse CA providers · Browse ZIP 92083
- Phone
- 7608065620
- Fax
- 7608065639
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Diabetes Educator Nurse
- Additional Specialty
- Gerontological Nurse
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.