NPI 1831270636 · live from the CMS NPI Registry
Nanci Lea Clark, DPM
Podiatrist, Foot & Ankle Surgery in Omaha, NE. National Provider Identifier 1831270636, active.
NPI record
| NPI | 1831270636 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 7828 Wakeley Plz, Omaha, NE 68114 |
| Practice phone | 402-926-2600 |
| Enumerated | October 18, 2006 |
| Last updated | December 11, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 292 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.