Wayne S Clark in Yakima - Nurse Practitioner

Wayne S Clark - NPI 1568479400

Wayne S Clark is a Nurse Practitioner in Yakima, Washington. Wayne S Clark practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Wayne S Clark is 1568479400. The last update date is 2010-07-22.

Wayne S Clark's current location address is 1460 N 16th Ave, Yakima, Washington. You can contact this provider via phone number 5095743800 and fax number 5095743806. The mailing address for Wayne S Clark is 1460 N 16th Ave, Yakima, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne S Clark
Address 1460 N 16th Ave, Yakima, Washington
Phone Number 5095743800
Fax Number 5095743806
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1568479400
Provider Enumeration Date 2006-08-02
Last Updated Date 2010-07-22

Provider Mailing Address Detail

Address 1460 N 16th Ave
City Yakima
State Washington (WA)
Post Code 989027102
Phone Number 5095743800
Fax Number 5095743806

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No AP30002529
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9607078 WA --
263471 WA L&I

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FAQs about Wayne S Clark

What is the unique 10-digit identifier code assigned to Wayne S Clark by the Centers for Medicare & Medicaid Services?

The Wayne S Clark has been issued the NPI (National Provider Identifier) 1568479400 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Wayne S Clark's physical address?

The Wayne S Clark is physically located at 1460 N 16Th Ave, in the city of Yakima, WA, with the postal code 989027102.

What is Wayne S Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wayne S Clark is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

When did Wayne S Clark receive its 1568479400 assignment?

The Wayne S Clark was assigned its 1568479400 on 2006-08-02, which is the date when this unique identifier was issued to the organization.

When was the information regarding Wayne S Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wayne S Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-22.

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