Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VONTISHA SHAVRON CLARK
Active Sole ProprietorVONTISHA SHAVRON CLARK is a Driver healthcare provider located in WILLISTON, North Dakota. NPI 1972490258 is currently active in the NPPES registry. Verify at CMS.
Driver · WILLISTON, ND
Registration Details
- NPI Number
- 1972490258
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2025 (1.1260504254951 yrs)
- Last Updated
- Jun 19, 2025
- License
-
CLA806348 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3315 2ND AVE E APT 102WILLISTON, ND, 588012815Browse ND providers · Browse ZIP 58801
- Phone
- 7016516625
- Fax
- 7016516625
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in WILLISTON, ND
| Name | Credential | NPI |
|---|---|---|
| BOBBI HANSON | — | 1922649995 |
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.