Chloe Clark

Individual provider Active NPI Nurse's Aide · Fletcher, NC

NPI 1568069573 · NPPES record last updated Oct 2, 2020

Key facts

NPI
1568069573
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
530972 (NC)
Practice address
210 Terrys Gap Rd
Fletcher, NC 28732-7530
Phone
(828) 702-1674
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
530972NCMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 530972 NC Yes

Addresses

Primary practice location

210 Terrys Gap Rd
Fletcher, NC 28732-7530

Mailing address

210 Terrys Gap Rd
Fletcher, NC 28732-7530

Other providers in Fletcher, NC

All providers in Fletcher, NC · Nurse's Aide in North Carolina

Sources for this page

Verify at the official NPI Registry.