Delores L Clark in Charlotte - Nurse Anesthetist, Certified Registered
Delores L Clark - NPI 1932157039
Delores L Clark is a Nurse Anesthetist, Certified Registered in Charlotte, North Carolina. Delores L Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Delores L Clark is 1932157039. The last update date is 2010-12-13.
Delores L Clark's current location address is 200 Hawthorne Lane, Charlotte, North Carolina. You can contact this provider via phone number 7043844239 and fax number 7043845636. The mailing address for Delores L Clark is 200 Hawthorne Lane, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Delores L Clark |
|---|---|
| Address | 200 Hawthorne Lane, Charlotte, North Carolina |
| Phone Number | 7043844239 |
| Fax Number | 7043845636 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1932157039 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2010-12-13 |
Provider Mailing Address Detail
| Address | 200 Hawthorne Lane |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 28204 |
| Phone Number | 7043844239 |
| Fax Number | 7043845636 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 44078 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NAN107 | SC | -- | |
| 8050810 | NC | -- |
Post Comment/ Review Below
What is the Delores L Clark's unique identification number?
The Delores L Clark has been assigned the NPI (National Provider Identifier) Number 1932157039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Delores L Clark?
The Delores L Clark is situated at 200 Hawthorne Lane, in the city of Charlotte, state of NC, with the zip code 28204.
What is Delores L Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Delores L Clark is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
When was the Delores L Clark's 1932157039 issued?
The Delores L Clark's 1932157039 was issued on 2006-05-04.
When was the Delores L Clark's information last updated?
The Delores L Clark's information was last updated on 2010-12-13.