Individual
NATHANIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CRNA
Contact information
Practice address
1000 POLE CREEK XING, SIDNEY, NE 69162-2901
(308) 254-5825
Mailing address
1000 POLE CREEK XING, SIDNEY, NE 69162-2901
(308) 254-5825
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101380
NE
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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