Abigail Clark
Licensed Practical Nurse in Denver, CO. Individual provider (NPI-1).
NPI number1962014035
StatusActive
Last updated in NPPESAug 20, 2020
Details
- NPI
- 1962014035
- Entity type
- Individual (NPI-1)
- Name
- Abigail Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2020
- Certification date
- Aug 20, 2020
- Last updated
- Aug 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN.0334040 | CO | Yes |
Practice location
4455 E 12th AveDenver, CO 80220-2415
Phone 303-504-7700
Mailing address
4455 E 12th AveDenver, CO 80220-2415
Phone 303-504-7700
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