Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIETTE CLARK
ActiveWILLIETTE CLARK is a Licensed Practical Nurse healthcare provider located in MONTGOMERY VILLAGE, Maryland. NPI 1174984934 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MONTGOMERY VILLAGE, MD
Registration Details
- NPI Number
- 1174984934
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2016 (10.470461233536 yrs)
- Last Updated
- Mar 8, 2016
- License
-
1003182 (DC)
Practice Information
- Address
-
9311 WILLOW CREEK DRAPT FMONTGOMERY VILLAGE, MD, 208860422Browse MD providers · Browse ZIP 20886
- Phone
- 2407515779
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.