Ms. Dimereze M Clark, RD, LD
Dietitian, Registered in Boothbay Harbor, Maine
1144330432- Practice location
- 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731
- Phone
- 207-633-2121
- Fax
- 207-633-1276
- Last updated
- July 8, 2007
Dimereze Mary Clark is a Dietitian, Registered based in Boothbay Harbor, ME. Dimereze Mary Clark practices in Boothbay Harbor, ME and has the professional credentials of RD, LD. The NPI Number for Dimereze Mary Clark is 1144330432 and holds a License No. D14 (ME). The current practice location address for Dimereze Mary Clark is 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 and can be reached out via phone at 207-633-2121 and via fax at 207-633-1276.
Provider Profile Details
- NPI Number
- 1144330432
- Provider Name
- Dimereze Mary Clark
- Credential
- RD, LD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731
- Phone Number
- 207-633-2121
- Fax Number
- 207-633-1276
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 30, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Saint Andrews Ln
Boothbay Harbor, ME 04538-1731 - City
- Boothbay Harbor
- State
- Maine
- Zip
- 04538-1731
- Phone Number
- 207-633-2121
- Fax Number
- 207-633-1276
Provider Business Mailing Address Details
- Address
- 7 Wildernesss Dr
Boothbay, ME 04537-5022 - City
- Boothbay
- State
- ME
- Zip
- 04537-5022
- Phone Number
- 207-633-3780
- Fax Number
- 207-633-1276
License Information
- License Number
- D14
- License State
- ME
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Boothbay Harbor, ME
View all Dietitian, Registered providers in Boothbay Harbor →- Mrs. Patrice W Carter, RPHPharmacist · NPI 1043262660
- Richard R Powis, RPHPharmacist · NPI 1760432561
- Melody L Rees, FNPNurse Practitioner, Family · NPI 1497419212
- MainehealthClinic/Center, Rural Health · NPI 1881709202
- MainehealthNursing Facility/Intermediate Care Facility · NPI 1528151065
- Garth A Miller MD PAColon & Rectal Surgery · NPI 1730159872
Frequently Asked Questions
What is the NPI number of Ms. Dimereze M Clark, RD, LD?
The NPI number of Ms. Dimereze M Clark, RD, LD is 1144330432. It was assigned on August 30, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Dimereze M Clark, RD, LD?
Ms. Dimereze M Clark, RD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number D14.
Where does Ms. Dimereze M Clark, RD, LD practice?
The practice location is 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731. The office can be reached at 207-633-2121 (phone) or 207-633-1276 (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 1144330432 directly on the NPPES registry website.