person
Shannon L Clark, RNCCM
School Registered Nurse in Tempe, Arizona
NPI 1255052031

Shannon L Clark is a School Registered Nurse based in Tempe, AZ and is specialized in School. Shannon L Clark practices in Tempe, AZ and has the professional credentials of RNCCM. The NPI Number for Shannon L Clark is 1255052031 and holds a License No. 242334 (Arizona).

The current practice location address for Shannon L Clark is 1115 W 5Th St, Tempe, AZ and can be reached out via phone at 480-929-9909 and via fax at 480-804-0384.

Location: 1115 W 5Th St, Tempe, AZ, 85281-2510
person
Provider Profile Details
NPI Number
1255052031
Provider Name
Shannon L Clark
Credential
RNCCM
Provider Entity Type
Individual
Gender
Female
Address
1115 W 5Th St, Tempe, AZ, 85281-2510
Phone Number
480-929-9909
Fax Number
480-804-0384
Provider Enumeration Date
09/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1115 W 5Th St
City
State
Zip
85281-2510
Phone Number
480-929-9909
Fax Number
480-804-0384
person
Provider Business Mailing Address Details
Address
1115 W 5Th St
City
State
Zip
85281-2510
Phone Number
480-929-9909
Fax Number
480-804-0384
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
License No.
242334 (Arizona)
Definition
Definition to come...
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