| Doctor Name: | AMEY M CLARK |
| NPI Number: | 1104251842 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | RN098454 |
| Business Practice Address: | 16280 W Maricopa St Goodyear, AZ - 853382837 |
| Business Phone Number: | 6023154308 |
| Business Fax Number: | |
| Mailing Address: | 16280 W Maricopa St, GOODYEAR |
| State: | AZ |
| Postal Code: | 853382837 |
| Phone Number: | 6023154308 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2013 |
| NPI Last Update Date: | 09/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | RN098454 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |