NICOLE CLARK RN
NPI 1619486834
Registered Nurse in Winter, WI

Active since September 20, 2017
N4093 KEEHN RD, WINTER, WI 54896(989) 709-1937 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Sep 20, 2017 (2 updates tracked since 2017).

About Nicole Clark Rn NPPES

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

NICOLE CLARK RN (NPI 1619486834) is an individual registered nurse in Winter, Wisconsin, licensed in Wisconsin (233138) and active in the NPI registry since September 2017. She maintains a secondary practice location in Stephenson.

NPPES Registry Identity

NPI1619486834
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameNICOLE CLARKCredential: RN
Location AddressN4093 KEEHN RDWinter, WI 54896-7312
Mailing AddressN4093 Keehn RdWinter, WI 54896-7312
Sole ProprietorYes
Enumeration DateSeptember 20, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1619486834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Licenses Licensed in WI · 233138 Licensed in MI · 4704325266
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.

N4093 KEEHN RD, Winter, WI 54896

Secondary Practice Location 1

Location 1E505 Hendricksen StStephenson, MI 49887-8930 · Phone (989) 709-1937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619486834, enumerated as an "individual" on September 20, 2017.

The provider is located at N4093 KEEHN RD WINTER, WI 54896 and the phone number is (989) 709-1937.

Registered Nurse with taxonomy code 163W00000X.