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Contact Information

TERESA L CLARK, RN
1675 AVENUE F
ELY, NV89301-3500
 Phone: 775-289-1671
 Fax: 775-289-1561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for TERESA L CLARK · (Female)

NPI Number 1487386736
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/27/2022
Last updated 06/27/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # RN95728
Hospital affiliation(s) Not Available
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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