person
Letricia Lenise Clark, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Warren, Michigan
NPI 1255844023

Letricia Lenise Clark is a Psychiatric/Mental Health Nurse Practitioner based in Warren, MI and is specialized in Psychiatric/Mental Health. Letricia Lenise Clark practices in Warren, MI and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Letricia Lenise Clark is 1255844023 and holds a License No. 4704261814 (Michigan).

The current practice location address for Letricia Lenise Clark is 28800 Ryan Rd Ste 320, Warren, MI and can be reached out via phone at 586-582-0500 and via fax at 586-834-2231. You can also correspond with Letricia Lenise Clark through the mailing address at 28800 RYAN RD STE 320, WARREN, MI - 48092-4272 (mailing address contact number: 586-582-0500).

Location: 28800 Ryan Rd Ste 320, Warren, MI, 48092-4272
person
Provider Profile Details
NPI Number
1255844023
Provider Name
Letricia Lenise Clark
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
28800 Ryan Rd Ste 320, Warren, MI, 48092-4272
Phone Number
586-582-0500
Fax Number
586-834-2231
Provider Enumeration Date
11/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28800 Ryan Rd Ste 320
City
State
Zip
48092-4272
Phone Number
586-582-0500
Fax Number
586-834-2231
person
Provider Business Mailing Address Details
Address
28800 Ryan Rd Ste 320
City
State
Zip
48092-4272
Phone Number
586-582-0500
Fax Number
586-834-2231
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
4704261814 (Michigan)
Definition
Definition to come...
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