Active NPIIndividual providerSole proprietor

Elisabeth A Clark, RN

Registered Nurse in Houlton, Maine

NPI Number1205486743
Practice location
59 Bangor St, Houlton, ME 04730-1740
Fax
207-528-2880
Last updated
September 9, 2020

Elisabeth A Clark is a Registered Nurse based in Houlton, ME. Elisabeth A Clark practices in Houlton, ME and has the professional credentials of RN. The NPI Number for Elisabeth A Clark is 1205486743 and holds a License No. RN63645 (ME). The current practice location address for Elisabeth A Clark is 59 Bangor St, Houlton, ME 04730-1740 and can be reached out via phone at 207-538-3700 and via fax at 207-528-2880.

Provider Profile Details

NPI Number
1205486743
Provider Name
Elisabeth A Clark
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
59 Bangor St, Houlton, ME 04730-1740
Phone Number
207-538-3700
Fax Number
207-528-2880
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2019
Last Update Date
September 9, 2020
Certification Date
September 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Bangor St
Houlton, ME 04730-1740
State
Maine
Zip
04730-1740
Phone Number
207-538-3700
Fax Number
207-528-2880
Houlton, ME 04730Get directions →

Provider Business Mailing Address Details

Address
529 S Patten RD
Patten, ME 04765-3007
City
Patten
State
ME
Zip
04765-3007
Phone Number
207-538-3700
Fax Number
207-528-2880

License Information

License Number
RN63645
License State
ME
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Elisabeth A Clark, RN?

The NPI number of Elisabeth A Clark, RN is 1205486743. It was assigned on September 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Elisabeth A Clark, RN?

Elisabeth A Clark, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in ME under license number RN63645.

Where does Elisabeth A Clark, RN practice?

The practice location is 59 Bangor St, Houlton, ME 04730-1740. The office can be reached at 207-538-3700 (phone) or 207-528-2880 (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 1205486743 directly on the NPPES registry website.

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