Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE CLARK, RN
Active Sole ProprietorNICOLE CLARK, RN is a Registered Nurse healthcare provider located in WINTER, Wisconsin. NPI 1619486834 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · WINTER, WI
Registration Details
- NPI Number
- 1619486834
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2017 (8.8949695766046 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
4704325266 (MI)233138 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N4093 KEEHN RDWINTER, WI, 548967312Browse WI providers · Browse ZIP 54896
- Phone
- 9897091937
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Registered Nurse
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.