VICTORIA DENE CLARK


Address: 24111 Southfield Rd, Southfield, MI 48075-2841
Phone: 2485578800

VICTORIA DENE CLARK (NPI# 1417361502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417361502
Entity Type Individual
Full Name VICTORIA DENE CLARK
Practice Address 24111 Southfield Rd
Southfield
MI 48075-2841
Mailing Address 30760 Nelson Circle
Westland
MI 48186
Practice Telephone 2485578800
Practice Fax Number 2485578860
Enumeration Date 2014-06-17
Last Update Date 2014-11-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704276153 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers VICTORIA CLARK

NPI Name Taxonomy Address Enumeration
1609399427 Victoria Regina Clark Physician Assistant 113 Sutton Dr, Berkeley Heights, NJ 07922-2510 2017-07-24
1730567082 Victoria Ann Clark Counselor 4300 Sw Sw 13th Street, Gainesville, FL 32608 2015-05-07
1487073052 Victoria Clark Counselor 1319 Brown St, Martinez, CA 94553-1924 2014-04-10
1215588462 Victoria Clark Advanced Practice Midwife 1600 Haddon Ave, Camden, NJ 08103-3101 2019-09-27
1972153757 Victoria Ann Clark Counselor 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 2019-09-13
1205494275 Victoria Clark Occupational Therapist 550 Saint Charles Dr Ste 100, Thousand Oaks, CA 91360-3969 2019-06-04
1568924082 Victoria Clark Registered Nurse 125 W Mission Ave, Escondido, CA 92025-1720 2019-04-03
1831614494 Victoria Lea Clark Case Manager/Care Coordinator 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 2017-08-04
1053764076 Victoria Clark Physician Assistant 1 Robert Wood Johnson Pl, Room 396, New Brunswick, NJ 08901-1928 2016-07-14
1346699733 Victoria E Clark Neurological Surgery Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 2016-06-07

Office Location

Street Address 24111 SOUTHFIELD RD
City SOUTHFIELD
State MI
Zip Code 48075-2841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861437410 Annette L Wahl Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2817 2006-06-18
1851855845 Chinyere Mercy Mbamah Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2019-01-24
1043763477 Joy Besiime Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2016-08-02
1568843811 Care First Group Living & In Home Services, Inc. In Home Supportive Care 24111 Southfield Rd, Southfield, MI 48075-2841 2015-06-12
1932525524 Toyia Novak Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2014-03-06
1427471291 Alishia Harris-diouf Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2014-01-29
1437583465 Hardev Kaur Shergill Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2013-08-27
1548514177 Sarah Collins Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2012-11-05
1346549409 Michigan Wound Care and Hyperbaric Institute PC Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2011-03-15
1174822233 Michigan Wound Care and Hyperbaric Institute PC Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2011-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043726144 Np Provision, LLC Nurse Practitioner 23077 Greenfield Rd., Suite 479, Southfield, MI 48075-3769 2017-12-27
1144579798 Nichol Lynn Tufts Nurse Practitioner 19933 West 13 Miles Rd, Southfield, MI 48076 2012-08-29
1962440693 Janet Lynn Safawi Nurse Practitioner Southfield Clinic, 29355 Northwestern Hwy Ste 200, Southfield, MI 48034 2006-06-03
1841282753 Laynette Goudy-egger Nurse Practitioner 29556 Southfield Rd, Suite 200, Southfield, MI 48076-2021 2005-08-17
1710547823 Christina Akaraz Nurse Practitioner 29877 Telegraph Rd, Southfield, MI 48034-1332 2019-06-20
1619467677 Timothy Gates LLC Nurse Practitioner 16250 Northland Dr Ste 369, Southfield, MI 48075-5208 2018-05-15
1245764737 Sharon Blackshire-tubie Nurse Practitioner 20755 Greenfield Rd, #203, Southfield, MI 48075-5403 2017-04-12
1932525524 Toyia Novak Nurse Practitioner 24111 Southfield Rd, Southfield, MI 48075-2841 2014-03-06
1235564402 Katherine Rose Shaw Nurse Practitioner 19933 W 13 Mile Rd, Southfield, MI 48076-1024 2013-09-06
1326471764 Timiko Lei Drew Nurse Practitioner 23077 Greenfield Rd, Suite 479, Southfield, MI 48075 2013-08-20
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Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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