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Contact Information

CRYSTAL J CLARK, APRN
11930 ARBOR ST STE 200
OMAHA, NE68144-2998
 Phone: 402-697-1601
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CRYSTAL J CLARK · (Female)

NPI Number 1417391160
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 04/24/2013
Last updated 04/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 111457
Hospital affiliation(s)
  • ALEGENT HEALTH LAKESIDE HOSPITAL - (Acute Care)
    16901 LAKESIDE HILLS CT
    OMAHA, NE 68130
  • THE NEBRASKA MEDICAL CENTER - (Acute Care)
    987400 NEBRASKA MEDICAL CENTER
    OMAHA, NE 68198
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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