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

MICHAEL ERIC CLARK, R.N.

Active

MICHAEL ERIC CLARK, R.N. is a Child & Adolescent Psychiatric Nurse healthcare provider located in GEORGETOWN, Ohio. NPI 1336407444 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · GEORGETOWN, OH

Registration Details

NPI Number
1336407444
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2012 (14.347926548763 yrs)
Last Updated
Apr 26, 2012
License
RN 300536 (OH)

Practice Information

Address
75 BANTING DR
GEORGETOWN, OH, 451211460
Browse OH providers · Browse ZIP 45121
Phone
9373784811
Fax
9373784812
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
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.