Michelle E Clark, APRN
Nurse Practitioner, Family in Cape Coral, FL. Individual provider (NPI-1).
NPI number1295080141
StatusActive
Last updated in NPPESJun 8, 2023
Details
- NPI
- 1295080141
- Entity type
- Individual (NPI-1)
- Name
- Michelle E Clark
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2012
- Certification date
- Jun 8, 2023
- Last updated
- Jun 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN9291822 | FL | Yes |
Other names
- Michelle E Brink (Former Name)
Practice location
708 Del Prado Blvd S Ste 7Cape Coral, FL 33990-2676
Phone 239-424-3660 · Fax 239-343-4133
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-424-3660 · Fax 239-343-4133
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