SHIRLEY CLARK AS, RN
NPI 1033244942
Registered Nurse in Marysville, WA

Q: What is Shirley Clark's NPI number?

The NPI number for Shirley Clark is 1033244942. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Shirley Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2007

9710 STATE AVE, MARYSVILLE, WA 98270(360) 653-1742(360) 653-2099 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shirley Clark As, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY CLARK AS, RN (NPI 1033244942) is an individual registered nurse in Marysville, Washington, licensed in Washington (RN00062095) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1033244942

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameSHIRLEY CLARKCredential: AS, RN

Location Address9710 STATE AVEMarysville, WA 98270-2232

Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-0112 · Fax (206) 764-0489

Phone(360) 653-1742

Fax(360) 653-2099

Sole ProprietorNo

Enumeration DateFebruary 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1033244942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in WA · RN00062095

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

9710 STATE AVE, Marysville, WA 98270

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Other Identifiers 1

Medicaid7407083WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DANIELLA V OCHOA-POLENCO

Health Educator