Tammy Clark, RN Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1184516213

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

4799573-3102 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2025-07-15

Last updated

2025-07-15