Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HEIDI MARIE CLARK, CRNP
ActiveMRS. HEIDI MARIE CLARK, CRNP is a Adult Health Nurse Practitioner healthcare provider located in PALO ALOT, California. NPI 1992902282 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · PALO ALOT, CA
Registration Details
- NPI Number
- 1992902282
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2007 (19.084315088704 yrs)
- Last Updated
- Jan 9, 2017
- Licenses
-
544649 (CA)544649 (CA)
Practice Information
- Address
-
795 EL CAMINO REALPALO ALOT, CA, 943012203Browse CA providers · Browse ZIP 94301
- Phone
- 6508532268
- Fax
- 6508534830
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Psychiatric/Mental Health, Community CNS
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.