Individual
NEDRA ROSE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
527 COBBS ST, NORTHERN LAKES COMMUNITY MENTAL HEALTH, CADILLAC, MI 49601
(231) 775-3463
(231) 775-1692
Mailing address
527 COBBS ST, NORTHERN LAKES COMMUNITY MENTAL HEALTH, CADILLAC, MI 49601
(231) 775-3463
(231) 775-1692
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704224483
MI
Other
Enumeration date
04/11/2013
Last updated
03/29/2026
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