DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL ANTHONY CLARK, R.N.

Active

MR. MICHAEL ANTHONY CLARK, R.N. is a General Practice Nurse healthcare provider located in MATHER, California. NPI 1255478111 is currently active in the NPPES registry. Verify at CMS.

General Practice Nurse · MATHER, CA

Registration Details

NPI Number
1255478111
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2007 (19.567802733567 yrs)
Last Updated
Jun 29, 2012
Licenses
RN 199634 (OH)
741297 (CA)
741297 (CA)
741297 (CA)

Practice Information

Address
10535 HOSPITAL WAY
MATHER, CA, 956554200
Browse CA providers · Browse ZIP 95655
Phone
9163665410
Primary Specialty
General Practice Nurse
163WG0000X
Additional Specialty
Emergency Nurse
Additional Specialty
Critical Care Nurse
Additional Specialty
General Practice Nurse

Other General Practice Nurse Providers in MATHER, CA

Name Credential NPI
MRS. PEGGY JENSEN RN 1922206812
MRS. AMANDA LEE JOHN TITUS RN 1164006235
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.