location
search-icon
person
Mrs. Elise Diane Clark, FNPBC
Nurse Practitioner in Lima, Ohio
NPI 1184619595

Elise Diane Clark is a Nurse Practitioner based in Lima, OH. Elise Diane Clark practices in Lima, OH and has the professional credentials of FNPBC. The NPI Number for Elise Diane Clark is 1184619595 and holds a License No. NP06689 (Ohio).

The current practice location address for Elise Diane Clark is 2875 W Elm St, Lima, OH and can be reached out via phone at 419-991-7805 and via fax at 419-991-7862.

Location: 2875 W Elm St, Lima, OH, 45805-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184619595
Provider Name
Elise Diane Clark
Credential
FNPBC
Provider Entity Type
Individual
Gender
Female
Address
2875 W Elm St, Lima, OH, 45805-2510
Phone Number
419-991-7805
Fax Number
419-991-7862
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
9934001 01 OH MEDICARE PTAN
2360252 05 OH
500023896 01 OH TRAVELERS/RAILROAD MEDICA
institution
Provider Business Practice Location Address Details
Address
2875 W Elm St
City
Lima
State
Ohio
Zip
45805-2510
Phone Number
419-991-7805
Fax Number
419-991-7862
person
Provider Business Mailing Address Details
Address
2875 W Elm St
City
Lima
State
Ohio
Zip
45805-2510
Phone Number
419-991-7805
Fax Number
419-991-7862
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP06689 (Ohio)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.