Andrea Clark in Salt Lake City - Nutrition, Renal
Andrea Clark - NPI 1710198528
Andrea Clark is a Nutrition, Renal in Salt Lake City, Utah. Andrea Clark practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Andrea Clark is 1710198528. The last update date is 2007-07-08.
Andrea Clark's current location address is 85 Medical Dr # 201, Salt Lake City, Utah. You can contact this provider via phone number 8015818578. The mailing address for Andrea Clark is 85 Medical Dr # 201, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Clark |
|---|---|
| Address | 85 Medical Dr # 201, Salt Lake City, Utah |
| Phone Number | 8015818578 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RENAL DIET |
NPI Number Detail
| NPI Number | 1710198528 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 85 Medical Dr # 201 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841121100 |
| Phone Number | 8015818578 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
|
Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
|
Post Comment/ Review Below
What is the unique identifier code issued to Andrea Clark by the Centers for Medicare & Medicaid Services?
The Andrea Clark has been assigned the NPI (National Provider Identifier) 1710198528. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Andrea Clark?
The Andrea Clark is situated at 85 Medical Dr # 201, in the city of Salt Lake City, state of UT, with the zip code 841121100.
What is Andrea Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea Clark's specialized field of practice is Nutrition, Renal, and the corresponding taxonomy code that categorizes this area of specialization is 133Vn1005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710198528 to Andrea Clark?
The Centers for Medicare & Medicaid Services originally issued the 1710198528 to Andrea Clark on 2007-05-24.
When was the information related to Andrea Clark most recently updated or refreshed?
The details pertaining to the Andrea Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.