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Contact Information

MICHELLE E CLARK, APRN
104 W SENECA ST
RAVENNA, NE68869-1363
 Phone: 308-452-3203
 Fax: 308-452-3794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MICHELLE E CLARK · (Female)

NPI # 1376067124
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/02/2017
Last updated 09/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 112270
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    P O BOX 1990, 10 EAST 31ST ST
    KEARNEY, NE 68848
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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