IndividualActive
Clark Hanawalt
NPI 1730903345 · Critical Care Medicine Registered Nurse · Madison, TN
Provider details
- NPI number
- 1730903345
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0000227653 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
315 Hospital Dr
Madison, TN 37115-5030
Phone: (615) 732-7662
Approximate (ZIP-level) locationGet directions
Mailing address
315 Hospital Dr
Madison, TN 37115-5030
Registry dates
- Enumerated
- 2024-11-11
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.