FARRAH CLARK - NPI 1538686167 - Specialist in Detroit Lakes, MN

Q: What is Farrah Clark's NPI number?

The NPI number for Farrah Clark is 1538686167. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Q: What is Farrah Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Farrah Clark was last updated on April 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Farrah Clark NPPES

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

FARRAH CLARK (NPI 1538686167) is an individual specialist in Detroit Lakes, Minnesota and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1538686167

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameFARRAH CLARK

Location Address1104 W RIVER RDDetroit Lakes, MN 56501-2723

Mailing Address891 Belsly BlvdMoorhead, MN 56560-5055 · (218) 287-4338 · Fax (218) 287-5928

Phone(218) 844-6853

Fax(866) 226-6130

Sole ProprietorNo

Enumeration DateAugust 24, 2017

Last NPPES UpdateApril 4, 20203 updates tracked since enumeration

NPPES CertifiedApril 4, 2020

✔ NPI 1538686167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1104 W RIVER RD, Detroit Lakes, MN 56501

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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.

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