Mrs. Kolu S Baysah Clark, DNP
Nurse Practitioner, Gerontology in Warwick, Rhode Island
1336535624- Practice location
- 455 Toll Gate RD, Warwick, RI 02886-2759
- Phone
- 401-737-7010
- Fax
- —
- Last updated
- April 15, 2026
Kolu S. Baysah Clark is a Nurse Practitioner, Gerontology based in Warwick, RI. Kolu S. Baysah Clark practices in Warwick, RI and has the professional credentials of DNP. The NPI Number for Kolu S. Baysah Clark is 1336535624 and holds a License No. APRN00086 (RI). The current practice location address for Kolu S. Baysah Clark is 455 Toll Gate RD, Warwick, RI 02886-2759 and can be reached out via phone at 401-737-7010.
Provider Profile Details
- NPI Number
- 1336535624
- Provider Name
- Kolu S. Baysah Clark
- Credential
- DNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 455 Toll Gate RD, Warwick, RI 02886-2759
- Phone Number
- 401-737-7010
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2015
- Last Update Date
- April 15, 2026
- Certification Date
- April 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 455 Toll Gate RD
Warwick, RI 02886-2759 - City
- Warwick
- State
- Rhode Island
- Zip
- 02886-2759
- Phone Number
- 401-737-7010
Provider Business Mailing Address Details
- Address
- 455 Tollgate RD
Professional Revenue Cycle And Credentialing
Warwick, RI 02886-2759 - City
- Warwick
- State
- RI
- Zip
- 02886-2759
- Phone Number
- 401-273-0641
- Fax Number
- 401-273-2919
License Information
- License Number (1)
- APRN00086
- License State (1)
- RI
- Taxonomy (1)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
- License Number (2)
- RN2269378
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- License Number (3)
- APRN00086
- License State (3)
- RI
- Taxonomy (3)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (4)
- RN2269378
- License State (4)
- MA
- Taxonomy (4)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (5)
- APRN00086
- License State (5)
- RI
- Taxonomy (5)
- Nurse Practitioner · 363L00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Warwick, RI
View all Nurse Practitioner, Gerontology providers in Warwick →Frequently Asked Questions
What is the NPI number of Mrs. Kolu S Baysah Clark, DNP?
The NPI number of Mrs. Kolu S Baysah Clark, DNP is 1336535624. It was assigned on April 13, 2015 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kolu S Baysah Clark, DNP?
Mrs. Kolu S Baysah Clark, DNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in RI under license number APRN00086.
Where does Mrs. Kolu S Baysah Clark, DNP practice?
The practice location is 455 Toll Gate RD, Warwick, RI 02886-2759. The office can be reached at 401-737-7010 (phone).
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 1336535624 directly on the NPPES registry website.