Individual
DR. VICKI L. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP 4530
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G08735
IA
Other
Enumeration date
07/02/2013
Last updated
07/21/2016
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