- Practice location
- 5 Silver Rdg, Veazie, ME 04401-7086
- Phone
- 207-942-0824
- Fax
- 207-942-0824
- Last updated
- June 26, 2013
Bonnie L Clark is a Nurse Practitioner, Women's Health based in Veazie, ME. Bonnie L Clark practices in Veazie, ME and has the professional credentials of WHNP-BC. The NPI Number for Bonnie L Clark is 1063563310 and holds a License No. CNP81695 (ME). The current practice location address for Bonnie L Clark is 5 Silver Rdg, Veazie, ME 04401-7086 and can be reached out via phone at 207-942-0824 and via fax at 207-942-0824.
Provider Profile Details
- NPI Number
- 1063563310
- Provider Name
- Bonnie L Clark
- Credential
- WHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5 Silver Rdg, Veazie, ME 04401-7086
- Phone Number
- 207-942-0824
- Fax Number
- 207-942-0824
- Primary Taxonomy
- Nurse Practitioner, Women's Health · 363LW0102X
- Sole Proprietor
- Yes
- Other Names
- Mrs. Bonnie L.c. Jackson (Former Name)
- Provider Enumeration Date
- January 15, 2007
- Last Update Date
- June 26, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Silver Rdg
Veazie, ME 04401-7086 - City
- Veazie
- State
- Maine
- Zip
- 04401-7086
- Phone Number
- 207-942-0824
- Fax Number
- 207-942-0824
Provider Business Mailing Address Details
- Address
- 5 Silver Rdg
Veazie, ME 04401-7086 - City
- Veazie
- State
- ME
- Zip
- 04401-7086
- Phone Number
- 207-942-0824
- Fax Number
- 207-942-0824
License Information
- License Number
- CNP81695
- License State
- ME
- Taxonomy
- Nurse Practitioner, Women's Health · 363LW0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Bonnie L Clark, WHNP-BC?
The NPI number of Ms. Bonnie L Clark, WHNP-BC is 1063563310. It was assigned on January 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Bonnie L Clark, WHNP-BC?
Ms. Bonnie L Clark, WHNP-BC is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in ME under license number CNP81695.
Where does Ms. Bonnie L Clark, WHNP-BC practice?
The practice location is 5 Silver Rdg, Veazie, ME 04401-7086. The office can be reached at 207-942-0824 (phone) or 207-942-0824 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063563310 directly on the NPPES registry website.