Miss. Nicole Tm Clark, ATC-L
Miss. Nicole Tm Clark, ATC-L is a Sports Medicine (Emergency Medicine) Physician in Portland, Maine. Licensed in Maine. Registered with an NPI since 2014.
- Licensed in
- ME
- In the registry since
- 2014
Practice location Address checks out
267 Ocean AvePortland, ME 04103-5707
Phone: (207) 542-8233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Emergency Medicine) Physician (primary) | Taxonomy 207PS0010X · Licence AT511 (ME) |
|---|
Record details
| NPI number | 1841609484 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ATC-L |
| Sole proprietor | No |
| NPI enumerated | August 7, 2014 |
| Last updated in NPPES | August 7, 2014 |