Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS E. CLARK
ActiveCertified Nurse Anesthetist (CRNA) · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1316430564
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2018 (7.8781419159883 yrs)
- Last Updated
- Jun 12, 2018
- License
-
118087 (WV)
Practice Information
- Address
-
4605 MACCORKLE AVE SWSOUTH CHARLESTON, WV, 253091311Browse WV providers · Browse ZIP 25309
- Phone
- 3047663600
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| CAROL LEE DAVIS | CRNA | 1558396929 |
| MARNIE E. EDWARDS | CRNA | 1225054745 |
| TAMMY L CUNNINGHAM | CRNA | 1104844109 |
| DOLORES A. MARSHALL | CRNA | 1891713954 |
| ELIZABETH Y. NEAL | CRNA | 1346269735 |
| DEBORAH S. PHILLIPS | CRNA | 1598784266 |
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.