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Vicki L Clark, CRNA
Certified Registered Nurse Anesthetist in Kettering, Ohio
NPI 1578539094

Vicki L Clark is a Certified Registered Nurse Anesthetist based in Kettering, OH. Vicki L Clark practices in Kettering, OH and has the professional credentials of CRNA. The NPI Number for Vicki L Clark is 1578539094 and holds a License No. RN-089448 (Ohio).

The current practice location address for Vicki L Clark is 3535 Southern Blvd, Kettering, OH and can be reached out via phone at 937-293-8228 and via fax at 937-293-8229. You can also correspond with Vicki L Clark through the mailing address at 3535 SOUTHERN BLVD, KETTERING, OH - 45429-1221 (mailing address contact number: 937-293-8228).

Location: 3535 Southern Blvd, Kettering, OH, 45429-1221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578539094
Provider Name
Vicki L Clark
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
3535 Southern Blvd, Kettering, OH, 45429-1221
Phone Number
937-293-8228
Fax Number
937-293-8229
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0783219 05 OH
institution
Provider Business Practice Location Address Details
Address
3535 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-293-8228
Fax Number
937-293-8229
person
Provider Business Mailing Address Details
Address
3535 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-293-8228
Fax Number
937-293-8229
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
RN-089448 (Ohio)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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