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

Mr. Michael Anthony Clark, RN

Individual provider Case Management Registered Nurse · NPI 1255478111

Mr. Michael Anthony Clark, RN is a Case Management Registered Nurse in Mather, California. Licensed in California and Ohio. Registered with an NPI since 2007.

Licensed in
CA, OH
In the registry since
2007
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

10535 Hospital Way
Mather, CA 95655-4200
Phone: (916) 366-5410
Show map & directions

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

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 741297 (CA)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence RN 199634 (OH)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 741297 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 741297 (CA)

Record details

NPI number1255478111
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJune 29, 2012
Mailing address1780 Creekside Dr, Apt: 2424, Folsom, CA 95630-3838