NPI 1619215225 · live from the CMS NPI Registry
Susan Clark, RN, CDE
Registered Nurse, Diabetes Educator in Baltimore, MD. National Provider Identifier 1619215225, active.
NPI record
| NPI | 1619215225 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 5601 Loch Raven Blvd, Good Health Center, O'Neil Bldg 2nd Fl, Baltimore, MD 21239 |
| Practice phone | 443-444-4550 |
| Enumerated | January 17, 2013 |
| Last updated | January 17, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | RN144178 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.