Elizabeth N Clark in New Bedford - Nurse Practitioner

Elizabeth N Clark - NPI 1619911435

Elizabeth N Clark is a Nurse Practitioner in New Bedford, Massachusetts. Elizabeth N Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Elizabeth N Clark is 1619911435. The last update date is 2011-06-07.

Elizabeth N Clark's current location address is 874 Purchase St, New Bedford, Massachusetts. You can contact this provider via phone number 5089926553 and fax number 5089907558. The mailing address for Elizabeth N Clark is 874 Purchase St, New Bedford, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth N Clark
Address 874 Purchase St, New Bedford, Massachusetts
Phone Number 5089926553
Fax Number 5089907558
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1619911435
Provider Enumeration Date 2006-06-15
Last Updated Date 2011-06-07

Provider Mailing Address Detail

Address 874 Purchase St
City New Bedford
State Massachusetts (MA)
Post Code 27406232
Phone Number 5089926553
Fax Number 5089907558

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 204438
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
412832 MA BCBSRI BLUE CHIP
37494 MA NEIGHBORHOOD HEALTH
703729 MA --
09774-3 MA BCBSRI
87495 MA CHILDRENS MEDICAL SECURIT
NP5006 MA BCBSMA

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FAQs about Elizabeth N Clark

What is the Elizabeth N Clark's 1619911435?

The Elizabeth N Clark's NPI (National Provider Identifier) Number is 1619911435. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Elizabeth N Clark is located?

The Elizabeth N Clark is situated at the following address: 874 Purchase St, New Bedford, MA, 27406232.

What is Elizabeth N Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Elizabeth N Clark is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1619911435 to Elizabeth N Clark?

The Centers for Medicare & Medicaid Services assigned the 1619911435 to Elizabeth N Clark on 2006-06-15.

When was the Elizabeth N Clark's information last updated?

The Elizabeth N Clark's information was last updated on 2011-06-07.

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