Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILLIP WAYNE CLARK, DNP
Active Sole ProprietorMR. PHILLIP WAYNE CLARK, DNP is a Family Nurse Practitioner healthcare provider located in KINGMAN, Arizona. NPI 1629471412 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · KINGMAN, AZ
Registration Details
- NPI Number
- 1629471412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2014 (11.818647216801 yrs)
- Last Updated
- May 23, 2025
- Licenses
-
2014034806 (MO)CNP-02553 (NM)AP 7468 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2501 N STOCKTON HILL RD STE 108KINGMAN, AZ, 864014140Browse AZ providers · Browse ZIP 86401
- Phone
- 9282555050
- Fax
- 8885715897
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in KINGMAN, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHLEEN SUZANNE FLOREA | NP | 1275527764 |
| MRS. CHERYL LYNN WEBB | — | 1891772083 |
| ERNEST S MONSON | NP | 1861457855 |
| JULIE D WAITE | ARNP | 1245268788 |
| VIVIAN R. SMITH | NP | 1851305981 |
| MS. RUTH ELAINE FOWLER | FNP/BC | 1639339179 |
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.