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Provider Profile

Ellice Clark

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At a glance

About Ellice Clark

Ellice Clark is a certified registered nurse anesthetist practicing in Ann Arbor, MI. This provider record is associated with NPI 1679287395.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Credentials & Licensing

MI licenceAs reported to the NPI registry
No. 4704345479As reported
NPINational Provider Identifier
1679287395Issued 2023

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Ellice Clark's specialty?

Ellice Clark is a certified registered nurse anesthetist in Ann Arbor, MI. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Ellice Clark?

Ellice Clark is listed at 1500 E Medical Center Dr, Ann Arbor, MI 48109. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Ellice Clark?

The number on file is (734) 936-4000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Ellice Clark?

Ellice Clark's National Provider Identifier is 1679287395. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Ellice Clark's education?

Ellice Clark attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Ellice Clark have?

Ellice Clark has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Is Ellice Clark's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Ellice Clark. If this is you, claiming it is free.

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