National Provider Identifier Database

TINA M CLARK
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.


Contact Information

TINA M CLARK
20812 E WATSON LN
OTIS ORCHARDS, WA99027-8234
Phone: 509-850-6519
Fax:
Website:
Specialty Taxonomy Code
* Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for TINA M CLARK

NPI Number 1609748276
Credentials
Entity Individual
Enumeration date 09/22/2025
Last updated 09/22/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • WA License #: RN00146844
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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