Brenda Lou Clark in Matthews - Nurse Practitioner

Brenda Lou Clark - NPI 1760479661

Brenda Lou Clark is a Nurse Practitioner in Matthews, North Carolina. Brenda Lou Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Brenda Lou Clark is 1760479661. The last update date is 2023-05-04.

Brenda Lou Clark's current location address is 332 N Trade St, Matthews, North Carolina. You can contact this provider via phone number 7045126850. The mailing address for Brenda Lou Clark is 332 N Trade St, Matthews, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda Lou Clark
Address 332 N Trade St, Matthews, North Carolina
Phone Number 7045126850
Fax Number
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1760479661
Provider Enumeration Date 2005-10-05
Last Updated Date 2023-05-04

Provider Mailing Address Detail

Address 332 N Trade St
City Matthews
State North Carolina (NC)
Post Code 281051728
Phone Number 7045126850
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 5009311
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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FAQs about Brenda Lou Clark

What is the unique identifier code issued to Brenda Lou Clark by the Centers for Medicare & Medicaid Services (CMS)?

The Brenda Lou Clark has been assigned the NPI (National Provider Identifier) 1760479661. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Brenda Lou Clark is physically located?

The Brenda Lou Clark is physically situated at the following address: 332 N Trade St, Matthews, NC, 281051728.

What is Brenda Lou Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Brenda Lou Clark's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

When did Brenda Lou Clark receive its 1760479661 assignment?

The Brenda Lou Clark was assigned its 1760479661 on 2005-10-05, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Brenda Lou Clark last refreshed?

The information related to the Brenda Lou Clark, including its address, specialty, and other relevant details, was last updated on 2023-05-04.

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