Natisha Irene Clark
Nurse Practitioner | 9+ years Exp
6777 W Maple Rd, West Bloomfield
Michigan, 48322-3013
800-683-6568
Natisha Irene Clark is a West Bloomfield, Michigan based nurse practitioner with 9 years of experience in Nurse Practitioner. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Natisha Irene Clark is 4704278418 for Primary Care in Michigan. Her current practice location is 6777 W Maple Rd, West Bloomfield. Patients can reach her at 800-683-6568 or can fax her at 313-876-1305 with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1871957985.
Natisha Irene Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Natisha Irene Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Natisha Irene Clark |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 6777 W Maple Rd, West Bloomfield,
Michigan, 48322-3013 |
| Phone: | 800-683-6568 |
| Fax: | 313-876-1305 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2668767542 |
| Enrollment ID: | I20160817002423 |
| NPI Number: | 1871957985 |
| NPI Enumeration Date: | 06 Apr, 2016 |
| NPI Last Update On: | 10 Nov, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Natisha Irene Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704278418 | Primary Care | Michigan | Primary | |
| 4704278418 | Registered Nurse | Michigan | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (230146) | Wyandotte, MI | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Natisha Irene Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Downriver Heart And Vascular Specialists, Pc (2062416522) | 6 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Natisha Irene Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1871957985 | Medicaid | Michigan | |
| 1871957985 | Other | Michigan | BLUE CROSS BLUE SHEILD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Natisha Irene Clark
1 Ford Pl Ste 3a,
Detroit, Michigan |
| Zip: | 48202-3450 |
| Phone Number: | 313-874-4806 |
| Fax Number: | 313-876-1305 |
Patients can reach Natisha Irene Clark at
6777 W Maple Rd, West Bloomfield, Michigan or can
call to book an appointment on 800-683-6568.
Comments/ Reviews:
Patients can read all the reviews posted for Natisha Irene Clark below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Natisha Irene Clark. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.