National Provider Identifier Database

SHELBY CLARK, BSN, RN – NPI #1841867652
Long-Term Care


Contact Information

SHELBY CLARK, BSN, RN
2525 DEMILLE BLVD
LAPEER, MI48446-3461
Phone: 810-245-9300
Fax:
Website:
Specialty Taxonomy Code
* Long-Term Care 364SL0600X

* Indicates primary specialty

NPI Profile & details for SHELBY CLARK

NPI Number 1841867652
Credentials BSN, RN
Entity Individual
Enumeration date 06/09/2021
Last updated 06/09/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4704328502
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.

Reviews for SHELBY CLARK, BSN, RN

There are currently no reviews for SHELBY CLARK, BSN, RN


NPIdb - Home
v2.201