Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE CLARK
ActiveNICOLE CLARK is a Hospitalist healthcare provider located in EVERETT, Pennsylvania. NPI 1720606130 is currently active in the NPPES registry. Verify at CMS.
Hospitalist · EVERETT, PA
Registration Details
- NPI Number
- 1720606130
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2020 (6.0743359633665 yrs)
- Last Updated
- Jul 18, 2023
- Licenses
-
055-0031682 (VT)MA061686 (PA)
Practice Information
- Address
-
10455 LINCOLN HWYEVERETT, PA, 155377046Browse PA providers · Browse ZIP 15537
- Phone
- 8146236161
- Primary Specialty
-
Hospitalist
208M00000X
- Additional Specialty
- Hospitalist
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.