Doctor Name: | VALERIE CLARK |
NPI Number: | 1003027525 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 067724 |
Business Practice Address: | 1400 Vfw Pkwy West Roxbury, MA - 021324927 |
Business Phone Number: | 8572036142 |
Business Fax Number: | |
Mailing Address: | 185 Main St, FOXBORO |
State: | MA |
Postal Code: | 020351340 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 067724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |