Katherine Diane Clark in Woodland Park - Registered Nurse
Katherine Diane Clark - NPI 1275791949
Katherine Diane Clark is a Registered Nurse in Woodland Park, Colorado. Katherine Diane Clark practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Katherine Diane Clark is 1275791949. The last update date is 2008-05-29.
Katherine Diane Clark's current location address is 400 W Midland Ave, Woodland Park, Colorado. You can contact this provider via phone number 7196872880 and fax number 7196860738. The mailing address for Katherine Diane Clark is 400 W Midland Ave, Woodland Park, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Diane Clark |
|---|---|
| Address | 400 W Midland Ave, Woodland Park, Colorado |
| Phone Number | 7196872880 |
| Fax Number | 7196860738 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1275791949 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 400 W Midland Ave |
|---|---|
| City | Woodland Park |
| State | Colorado (CO) |
| Post Code | 808633144 |
| Phone Number | 7196872880 |
| Fax Number | 7196860738 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 91681 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Katherine Diane Clark by the Centers for Medicare & Medicaid Services?
The Katherine Diane Clark has been issued the NPI (National Provider Identifier) 1275791949 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Katherine Diane Clark?
The Katherine Diane Clark is physically situated at 400 W Midland Ave, in the city of Woodland Park, state of CO, with the postal code 808633144.
What is the area of specialization for Katherine Diane Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Katherine Diane Clark is Registered Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275791949 to Katherine Diane Clark?
The Centers for Medicare & Medicaid Services originally issued the 1275791949 to Katherine Diane Clark on 2008-05-29.
As of what date was the information regarding Katherine Diane Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Katherine Diane Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-29.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL