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GUY MAX CLARK RN
NPI 1356907083
Registered Nurse - Medical-Surgical in Gallup, NM

Active since May 17, 2019
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Guy Max Clark Rn NPPES

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

GUY MAX CLARK RN (NPI 1356907083) is an individual medical-surgical provider in Gallup, New Mexico, licensed in Texas (897468) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1356907083
Entity TypeIndividualMale
Primary Taxonomy163WM0705X
Provider Legal NameGUY MAX CLARKCredential: RN
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing Address516 E Nizhoni BlvdGallup, NM 87301-5748 · (505) 722-1000
Phone(505) 722-1000
Sole ProprietorYes
Enumeration DateMay 17, 2019
✔ NPI 1356907083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in TX · 897468
516 E NIZHONI BLVD, Gallup, NM 87301
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JENNIFER MARIE MOORE RN, BSN
Registered Nurse (Medical-Surgical)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
OLUREMI D ESURUOSO RN
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-2100
ALICE SMITH RN
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1790
JODIE INSKEEP RN
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1790
LORRAINE AMANDA CABRILLAS RN
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
JODY MARIE ACORD RN
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1790
TRACY LYNN WATSON
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
JUDY GAMBOA OCAMPO
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000

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 Guy Clark's NPI number?

The NPI number for Guy Clark is 1356907083. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Guy Clark located?

Guy Clark practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Guy Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Guy Clark was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.