Venecia Bridgette Clark
NPI #1982169728 in Tukwila, Washington
Provider Information
- NPI Number
- 1982169728
- Entity Type
- Individual
- Name
- Venecia Bridgette Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Feb 6, 2019
- Last Updated
- Mar 15, 2022
Practice Location
- Address
- 6450 SOUTHCENTER BLVD STE 102
- City
- Tukwila
- State
- Washington
- ZIP Code
- 98188-2552
- Phone
- (206) 721-6170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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