Individual
NATALIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
750 N FREEDOM BLVD # 200W, PROVO, UT 84601-1677
(801) 373-7394
Mailing address
365 W 470 N, SPANISH FORK, UT 84660-1420
(801) 722-4599
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
8035161-3102
UT
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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