Individual
EVAN I CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
250 PILOT RD, SUITE 250, LAS VEGAS, NV 89119-3514
(725) 334-3276
Mailing address
250 PILOT RD STE 250, LAS VEGAS, NV 89119-3514
(725) 334-3276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
874279
NV
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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