Danielle McKalie Clark
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lowell, AR
NPI 1578284949 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1578284949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 302 Northcrest Ave
Lowell, AR 72745-9651 - Phone
- (479) 301-5852
- NPI assigned
- Sep 6, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
302 Northcrest Ave
Lowell, AR 72745-9651
Mailing address
302 Northcrest Ave
Lowell, AR 72745-9651
Phone (479) 301-5852
Other providers in Lowell, AR
- Robin Kirkpatrick Burch
- Traci Michelle Burleson
- Jill Marie Carter
- Ceola Anesthesia, PLLC
- City of Lowell
- Cole Counseling and Consulting
- Tara M Cole
- Helen Courtney Coleman
- Collier Drug Stores Inc
- Cecelia Renee Collier
All providers in Lowell, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.