Connie Ruth Clark in Stevenson - Nurse Practitioner
Connie Ruth Clark - NPI 1336303106
Connie Ruth Clark is a Nurse Practitioner in Stevenson, Washington. Connie Ruth Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Connie Ruth Clark is 1336303106. The last update date is 2019-03-19.
Connie Ruth Clark's current location address is Po Box 1492, Stevenson, Washington. You can contact this provider via phone number 5094273850. The mailing address for Connie Ruth Clark is Po Box 1492, Stevenson, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Ruth Clark |
|---|---|
| Address | Po Box 1492, Stevenson, Washington |
| Phone Number | 5094273850 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1336303106 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2019-03-19 |
Provider Mailing Address Detail
| Address | Po Box 1492 |
|---|---|
| City | Stevenson |
| State | Washington (WA) |
| Post Code | 986481492 |
| Phone Number | 5094273850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP60258145 |
|
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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What is the unique 10-digit identifier code assigned to Connie Ruth Clark by the Centers for Medicare & Medicaid Services?
The Connie Ruth Clark has been issued the NPI (National Provider Identifier) 1336303106 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Connie Ruth Clark is located?
The Connie Ruth Clark is situated at the following address: Po Box 1492, Stevenson, WA, 986481492.
What is Connie Ruth Clark's area of expertise and its corresponding taxonomy classification?
The Connie Ruth Clark's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1336303106 to Connie Ruth Clark?
The Connie Ruth Clark received its 1336303106 assignment from the Centers for Medicare & Medicaid Services on 2008-07-10.
As of what date was the information regarding Connie Ruth Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Connie Ruth Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-03-19.
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