Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark Hanawalt

Individual provider Critical Care Medicine Registered Nurse · NPI 1730903345

Clark Hanawalt is a Critical Care Medicine Registered Nurse in Madison, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2024

Practice location Address checks out

315 Hospital Dr
Madison, TN 37115-5030
Phone: (615) 732-7662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 0000227653 (TN)

Record details

NPI number1730903345
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address315 Hospital Dr, Madison, TN 37115-5030

Other providers in Madison