MRS. Claudette Vivienne Clark, MSN,RN,CPNP,IBCLC
NPI #1053457135 in Fort Sam Houston, Texas
Provider Information
- NPI Number
- 1053457135
- Entity Type
- Individual
- Name
- MRS. Claudette Vivienne Clark, MSN,RN,CPNP,IBCLC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Primary Care
- Credential
- MSN,RN,CPNP,IBCLC
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3851 ROGER BROOKE DRIVE
- Address 2
- BROOKE ARMY MEDICAL CENTER
- City
- Fort Sam Houston
- State
- Texas
- ZIP Code
- 78234-6200
- Phone
- (210) 916-9233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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