Nicholas E. Clark
Nicholas E. Clark is a Certified Registered Nurse Anesthetist (CRNA) in South Charleston, West Virginia. Qualified in 2018, 8 years ago. Practices with Ths Physician Partners Inc, a 359-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 8
- Licensed in
- WV
- In the registry since
- 2018
Practice location Address checks out
4605 Maccorkle Ave SWSouth Charleston, WV 25309-1311
Phone: (304) 766-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 118087 (WV) |
|---|
Record details
| NPI number | 1316430564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 12, 2018 |
| Last updated in NPPES | June 12, 2018 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Ths Physician Partners Inc — 359 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in South Charleston
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Jennifer E. Broyles, CRNA
253 Dolaron Ln, South Charleston, WV 25309-8109 · (304) 720-8816
-
Tammy L Cunningham, CRNA
4605 Maccorkle Ave SW, South Charleston, WV 25309-1311 · (304) 766-3600
-
Carol Lee Davis, CRNA
4605 Maccorkle Ave SW, South Charleston, WV 25309-1311 · (304) 766-3600
-
Marnie E. Edwards, CRNA
4605 Maccorkle Ave SW, South Charleston, WV 25309-1311 · (304) 766-3600
-
Matthew Forrest Ellison
100 Angus E Peyton Dr, South Charleston, WV 25303-1600 · (304) 746-2500