Heidi Clark in Takoma Park - Pediatrics

Heidi Clark - NPI 1124189196

Heidi Clark is a Pediatrics in Takoma Park, Maryland. Heidi Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Heidi Clark is 1124189196. The last update date is 2012-10-09.

Heidi Clark's current location address is 8106 Chester St, Takoma Park, Maryland. You can contact this provider via phone number 3012755355. The mailing address for Heidi Clark is 8106 Chester St, Takoma Park, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Heidi Clark
Address 8106 Chester St, Takoma Park, Maryland
Phone Number 3012755355
Fax Number
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1124189196
Provider Enumeration Date 2006-12-13
Last Updated Date 2012-10-09

Provider Mailing Address Detail

Address 8106 Chester St
City Takoma Park
State Maryland (MD)
Post Code 209127339
Phone Number 3012755355
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No RN960959
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Heidi Clark

What is the unique provider identifier assigned to Heidi Clark?

The Heidi Clark has been issued the NPI (National Provider Identifier) 1124189196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Heidi Clark is physically located?

The Heidi Clark is situated at the following address: 8106 Chester St, Takoma Park, MD 209127339.

What is Heidi Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Heidi Clark is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.

On what date did the Heidi Clark receive its 1124189196 assignment from the Centers for Medicare & Medicaid Services?

The Heidi Clark was assigned its 1124189196 by the Centers for Medicare & Medicaid Services on 2006-12-13.

As of what date were the details related to Heidi Clark most recently updated or revised?

The information pertaining to Heidi Clark, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-09.

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