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

Staja Clark

Individual provider Registered Nurse · NPI 1790612646

Staja Clark is a Registered Nurse in Toledo, Ohio. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

2556 Gardengate Pl
Toledo, OH 43614-4791
Phone: (419) 654-8398
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704434979 (MI)

Record details

NPI number1790612646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2026
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address2556 Gardengate Pl, Toledo, OH 43614-4791

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