Leah Diane Clark in Lutz - Nurse Practitioner
Leah Diane Clark - NPI 1588616858
Leah Diane Clark is a Nurse Practitioner in Lutz, Florida. Leah Diane Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Leah Diane Clark is 1588616858. The last update date is 2007-07-08.
Leah Diane Clark's current location address is 14715 Tall Tree Dr, Lutz, Florida. You can contact this provider via phone number 8138772200 and fax number 8139842495. The mailing address for Leah Diane Clark is 14715 Tall Tree Dr, Lutz, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leah Diane Clark |
|---|---|
| Address | 14715 Tall Tree Dr, Lutz, Florida |
| Phone Number | 8138772200 |
| Fax Number | 8139842495 |
| Sole Proprietor | X |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1588616858 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14715 Tall Tree Dr |
|---|---|
| City | Lutz |
| State | Florida (FL) |
| Post Code | 335593246 |
| Phone Number | 8138772200 |
| Fax Number | 8139842495 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP3071812 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Leah Diane Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Leah Diane Clark has been assigned the NPI (National Provider Identifier) 1588616858. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Leah Diane Clark?
The Leah Diane Clark is situated at 14715 Tall Tree Dr, in the city of Lutz, state of FL, with the zip code 335593246.
What is the Leah Diane Clark's area of specialization and corresponding taxonomy classification?
The Leah Diane Clark's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1588616858 assigned to Leah Diane Clark?
The Leah Diane Clark was issued its 1588616858 on 2006-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Leah Diane Clark most recently updated or revised?
The details related to Leah Diane Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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