Erika Clark, is a
Licensed Practical Nurse based in Dimondale, Michigan. Erika Clark is licensed to practice in Michigan (license number 4703104793) and her current practice location is
350 Elm St, Dimondale, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 410-2004.
NPI number for Erika Clark is 1003223090 and her current mailing address is Po Box 76, Dimondale, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003223090.
Provider's Profile
Full Name | Erika Clark |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 350 Elm St, Dimondale, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003223090
- Provider Enumeration Date: 07/22/2014
- Last Update Date: 07/22/2014
Medical Identifiers
Medical identifiers for Erika Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003223090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703104793 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erika Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Erika Clark, Po Box 76, Dimondale, MI 48821-0076 Ph: () - | Erika Clark, 350 Elm St, Dimondale, MI 48821-9556 Ph: (517) 410-2004 |
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