MRS. MARY A CLARKSON RN
NPI 1841520392
Registered Nurse - Gastroenterology in Holland, MI
Active since January 06, 2010
About Mrs. Mary A Clarkson Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY A CLARKSON RN (NPI 1841520392) is an individual gastroenterology provider in Holland, Michigan, licensed in Michigan (4704191572) and active in the NPI registry since January 2010.
NPPES Registry Identity
NPI1841520392
Entity TypeIndividualFemale
Primary Taxonomy163WG0100X
Provider Legal NameMRS. MARY A CLARKSONCredential: RN
Location Address626 S. MICHIGAN AVEHolland, MI 49423
Mailing Address1414 Stoney Lake DrHolland, MI 49424-6171
Phone(616) 394-3422
Sole ProprietorNo
Enumeration DateJanuary 6, 2010
✔ NPI 1841520392 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · GastroenterologyNursing Service Providers
Taxonomy Code163WG0100X
License✔ Licensed in MI · 4704191572
626 S. MICHIGAN AVE, Holland, MI 49423
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841520392, enumerated as an "individual" on January 06, 2010.
The provider is located at 626 S. MICHIGAN AVE HOLLAND, MI 49423 and the phone number is (616) 394-3422.
Registered Nurse with taxonomy code 163WG0100X and a focus in Gastroenterology.