Individual
DENISE LORRAYNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RND, BSN, CCRN
Contact information
Practice address
30818 412TH DR NE, ARLINGTON, WA 98223
(360) 631-0550
Mailing address
PO BOX 393, ARLINGTON, WA 98223-0393
(360) 631-0550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00099001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040237
—
WA
Enumeration date
10/09/2013
Last updated
10/09/2013
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