DR. ANGELA CECILE CLARK DNP-FNP
NPI 1073485553
Student in an Organized Health Care Education/Training Program in Grosse Pointe Park, MI

Active since September 23, 2025
1109 BISHOP RD, GROSSE POINTE PARK, MI 48230(313) 402-4877 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Angela Cecile Clark Dnp-fnp NPPES

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

DR. ANGELA CECILE CLARK DNP-FNP (NPI 1073485553) is an individual student in an organized health care education/training program in Grosse Pointe Park, Michigan, licensed in Michigan (4704198035) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1073485553
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ANGELA CECILE CLARKCredential: DNP-FNP
Location Address1109 BISHOP RDGrosse Pointe Park, MI 48230-1422
Mailing Address1109 Bishop RdGrosse Pointe Park, MI 48230-1422 · (313) 402-4877
Sole ProprietorNo
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
NPI 1073485553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4704198035
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1109 BISHOP RD, Grosse Pointe Park, MI 48230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Clark's NPI number?

The NPI number for Angela Clark is 1073485553. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Angela Clark located?

Angela Clark practices at 1109 Bishop Rd, Grosse Pointe Park, MI 48230. The listed phone number is (313) 402-4877.

What is Angela Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Angela Clark was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.