Shelby Clark, BSN, RN is a
Clinical Nurse Specialist - Long-term Care based in Lapeer, Michigan. Shelby Clark is licensed to practice in Michigan (license number 4704328502) and her current practice location is
2525 Demille Blvd, Lapeer, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 245-9300.
NPI number for Shelby Clark is 1841867652 and her current mailing address is 7270 Edwards Rd, Mayville, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841867652.
Provider's Profile
Full Name | Shelby Clark |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Long-term Care |
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Location | 2525 Demille Blvd, Lapeer, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841867652
- Provider Enumeration Date: 06/09/2021
- Last Update Date: 06/09/2021
Medical Identifiers
Medical identifiers for Shelby Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841867652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SL0600X | Clinical Nurse Specialist - Long-term Care | 4704328502 (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. Shelby 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 |
Shelby Clark, BSN, RN 7270 Edwards Rd, Mayville, MI 48744-9543 Ph: (810) 397-2966 | Shelby Clark, BSN, RN 2525 Demille Blvd, Lapeer, MI 48446-3461 Ph: (810) 245-9300 |
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