Individual
MELANIE MARGARET CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
565 LAKE COLONY DR, VESTAVIA, AL 35242-7409
(205) 563-8590
Mailing address
565 LAKE COLONY DR, VESTAVIA, AL 35242-7409
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-162673
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2021
Last updated
05/14/2025
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