Rebecca S. Clark is a Family in Minden, Louisiana. Rebecca S. Clark practices all healthcare services and medical treatments related to Family. The NPI Number for Rebecca S. Clark is 1891987343. The last update date is 2017-04-10.
Rebecca S. Clark's current location address is 10600 Industrial Dr, Minden, Louisiana. You can contact this provider via phone number 3187984616 and fax number 3187984619. The mailing address for Rebecca S. Clark is 10600 Industrial Dr, Minden, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca S. Clark |
|---|---|
| Address | 10600 Industrial Dr, Minden, Louisiana |
| Phone Number | 3187984616 |
| Fax Number | 3187984619 |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1891987343 |
|---|---|
| Provider Enumeration Date | 2007-08-17 |
| Last Updated Date | 2017-04-10 |
Provider Mailing Address Detail
| Address | 10600 Industrial Dr |
|---|---|
| City | Minden |
| State | Louisiana (LA) |
| Post Code | 710555105 |
| Phone Number | 3187984616 |
| Fax Number | 3187984619 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP05233 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1362484 | LA | -- |
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What is the unique identifier code issued to Rebecca S. Clark by the Centers for Medicare & Medicaid Services?
The Rebecca S. Clark has been assigned the NPI (National Provider Identifier) 1891987343. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Rebecca S. Clark located?
The Rebecca S. Clark is located at 10600 Industrial Dr, Minden, LA 710555105.
What is Rebecca S. Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rebecca S. Clark's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
When did the Rebecca S. Clark receive its 1891987343?
The Rebecca S. Clark was issued its 1891987343 on 2007-08-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Rebecca S. Clark most recently updated?
The details pertaining to the Rebecca S. Clark, including its address, specialty, and other relevant information, were last refreshed on 2017-04-10.
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