Casey Ryan Clark, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Athens, AL

NPI

1174534085

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

1-104686 (AL)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-10

Last updated

2007-07-08