Nancy L Clark in Bellevue - Medical

Nancy L Clark - NPI 1831230911

Nancy L Clark is a Medical in Bellevue, Washington. Nancy L Clark practices all healthcare services and medical treatments related to Medical. The NPI Number for Nancy L Clark is 1831230911. The last update date is 2008-09-15.

Nancy L Clark's current location address is 13033 Bellevue Redmond Rd, Bellevue, Washington. You can contact this provider via phone number 4254686500 and fax number 4254686501. The mailing address for Nancy L Clark is 13033 Bellevue Redmond Rd, Bellevue, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Nancy L Clark
Address 13033 Bellevue Redmond Rd, Bellevue, Washington
Phone Number 4254686500
Fax Number 4254686501
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1831230911
Provider Enumeration Date 2007-02-09
Last Updated Date 2008-09-15

Provider Mailing Address Detail

Address 13033 Bellevue Redmond Rd
City Bellevue
State Washington (WA)
Post Code 980052633
Phone Number 4254686500
Fax Number 4254686501

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA10003692
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
171527 WA LABOR AND INDUSTRIES

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FAQs about Nancy L Clark

What is the unique identifier code issued to Nancy L Clark by the Centers for Medicare & Medicaid Services?

The Nancy L Clark has been assigned the NPI (National Provider Identifier) 1831230911. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Nancy L Clark is located?

The Nancy L Clark is situated at the following address: 13033 Bellevue Redmond Rd, Bellevue, WA, 980052633.

What is Nancy L 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 Nancy L Clark is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date was the 1831230911 assigned to Nancy L Clark?

The Nancy L Clark was issued its 1831230911 on 2007-02-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Nancy L Clark last refreshed?

The information related to the Nancy L Clark, including its address, specialty, and other relevant details, was last updated on 2008-09-15.

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