Mrs Nicole Craven Clark, OTR/L is a
Occupational Therapist based in Marshville, North Carolina. Mrs Nicole Craven Clark is licensed to practice in North Carolina (license number 7089) and her current practice location is
311 W Phifer St, Marshville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 624-6643.
NPI number for Mrs Nicole Craven Clark is 1558693762 and her current mailing address is 311 W Phifer St, Marshville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558693762.
Healthcare Provider's Profile
Full Name | Mrs Nicole Craven Clark |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 311 W Phifer St, Marshville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558693762
- Provider Enumeration Date: 02/12/2010
- Last Update Date: 01/01/2018
Medical Identifiers
Medical identifiers for Mrs Nicole Craven Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558693762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 14031 (Florida) | Secondary |
225X00000X | Occupational Therapist | 7089 (North Carolina) | 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. Mrs Nicole Craven 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 |
Mrs Nicole Craven Clark, OTR/L 311 W Phifer St, Marshville, NC 28103-1322 Ph: (704) 624-6643 | Mrs Nicole Craven Clark, OTR/L 311 W Phifer St, Marshville, NC 28103-1322 Ph: (704) 624-6643 |
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