Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEIDI C. CLARK
Active Sole ProprietorHEIDI C. CLARK is a Case Manager healthcare provider located in KINGSTON, Washington. NPI 1154614808 is currently active in the NPPES registry. Verify at CMS.
Case Manager · KINGSTON, WA
Registration Details
- NPI Number
- 1154614808
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2011 (15.238782316696 yrs)
- Last Updated
- May 26, 2011
- License
-
CP00005554 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31912 LITTLE BOSTON RD NEKINGSTON, WA, 983469700Browse WA providers · Browse ZIP 98346
- Phone
- 3606331902
- Primary Specialty
-
Case Manager
171M00000X
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.