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

NATISHA IRENE CLARK

Active Sole Proprietor

NATISHA IRENE CLARK is a Primary Care Nurse Practitioner healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1871957985 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · WEST BLOOMFIELD, MI

Registration Details

NPI Number
1871957985
Provider Type
Individual
Gender
Female
NPI Issued
Apr 6, 2016 (10.38880703312 yrs)
Last Updated
Nov 10, 2022
Licenses
4704278418 (MI)
4704278418 (MI)
Sole Proprietor
Yes

Practice Information

Address
6777 W MAPLE RD
WEST BLOOMFIELD, MI, 483223013
Browse MI providers · Browse ZIP 48322
Phone
8006836568
Fax
3138761305
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in WEST BLOOMFIELD, MI

Name Credential NPI
LISA LYNN MCCLOY 1962850131
MR. ROBERT THOMAS LOUIS-FERDINAND JR. APRN, AGPCNP-BC 1548802713
JENNA E BUCHMAN NP 1427692607
JOANNE PEGINA CRUZ MSN, NP-C 1619727112
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.