Wanda Lu Clark in Amarillo - Nurse Practitioner
Wanda Lu Clark - NPI 1356340681
Wanda Lu Clark is a Nurse Practitioner in Amarillo, Texas. Wanda Lu Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Wanda Lu Clark is 1356340681. The last update date is 2020-03-24.
Wanda Lu Clark's current location address is 3113 Ross St, Amarillo, Texas. You can contact this provider via phone number 8063747341 and fax number 8063220533. The mailing address for Wanda Lu Clark is 3113 Ross St, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Lu Clark |
|---|---|
| Address | 3113 Ross St, Amarillo, Texas |
| Phone Number | 8063747341 |
| Fax Number | 8063220533 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1356340681 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2020-03-24 |
Provider Mailing Address Detail
| Address | 3113 Ross St |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791032700 |
| Phone Number | 8063747341 |
| Fax Number | 8063220533 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 509539 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142123201 | TX | -- | |
| 85N188 | TX | BCBS TX |
Post Comment/ Review Below
What is the Wanda Lu Clark's unique identification number?
The Wanda Lu Clark has been assigned the NPI (National Provider Identifier) Number 1356340681 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Wanda Lu Clark is physically located?
The Wanda Lu Clark is situated at the following address: 3113 Ross St, Amarillo, TX 791032700.
What is Wanda Lu Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wanda Lu Clark is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356340681 to Wanda Lu Clark?
The Wanda Lu Clark received its 1356340681 assignment from the Centers for Medicare & Medicaid Services on 2005-07-19.
When was the information pertaining to Wanda Lu Clark most recently updated or revised?
The details related to Wanda Lu Clark, including its address, specialty, and other relevant information, were last updated or revised on 2020-03-24.