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

CHANDRA H. CLARK, RN, CDCES

Active Sole Proprietor

CHANDRA H. CLARK, RN, CDCES is a Diabetes Educator Nurse healthcare provider located in BLACKSTONE, Virginia. NPI 1649868217 is currently active in the NPPES registry. Verify at CMS.

Diabetes Educator Nurse · BLACKSTONE, VA

Registration Details

NPI Number
1649868217
Provider Type
Individual
Gender
Female
NPI Issued
Jan 8, 2021 (5.6305987742102 yrs)
Last Updated
Jan 8, 2021
License
0001157171 (VA)
Sole Proprietor
Yes

Practice Information

Address
11106 HAWKES LANE
BLACKSTONE, VA, 23824
Browse VA providers · Browse ZIP 23824
Phone
7573271817
Primary Specialty
Diabetes Educator Nurse
163WD0400X
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.