Active NPIIndividual provider

Ms. Coryn B Clark, NP

Clinical Nurse Specialist, Adult Health in Storrs, Connecticut

NPI Number1447248760
Practice location
234 Glenbrook RD Unit 4011, Storrs, CT 06269-4011
Fax
860-486-1765
Last updated
December 5, 2016

Coryn B Clark is a Clinical Nurse Specialist, Adult Health based in Storrs, CT. Coryn B Clark practices in Storrs, CT and has the professional credentials of NP. The NPI Number for Coryn B Clark is 1447248760 and holds a License No. 001316 (CT). The current practice location address for Coryn B Clark is 234 Glenbrook RD Unit 4011, Storrs, CT 06269-4011 and can be reached out via phone at 860-486-4700 and via fax at 860-486-1765.

Provider Profile Details

NPI Number
1447248760
Provider Name
Coryn B Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
234 Glenbrook RD Unit 4011, Storrs, CT 06269-4011
Phone Number
860-486-4700
Fax Number
860-486-1765
Primary Taxonomy
Clinical Nurse Specialist, Adult Health · 364SA2200X
Sole Proprietor
No
Provider Enumeration Date
October 11, 2005
Last Update Date
December 5, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
234 Glenbrook RD Unit 4011
Storrs, CT 06269-4011
City
Storrs
Zip
06269-4011
Phone Number
860-486-4700
Fax Number
860-486-1765
Storrs, CT 06269Get directions →

Provider Business Mailing Address Details

Address
234 Glenbrook RD Unit 4011
Storrs, CT 06269-4011
City
Storrs
State
CT
Zip
06269-4011
Phone Number
860-486-4700
Fax Number
860-486-1765

License Information

License Number
001316
License State
CT
Taxonomy
Clinical Nurse Specialist, Adult Health · 364SA2200X · 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 Ms. Coryn B Clark, NP?

The NPI number of Ms. Coryn B Clark, NP is 1447248760. It was assigned on October 11, 2005 and is currently active in the NPPES registry.

What is the specialty of Ms. Coryn B Clark, NP?

Ms. Coryn B Clark, NP is registered under the primary taxonomy Clinical Nurse Specialist, Adult Health (code 364SA2200X), licensed in CT under license number 001316.

Where does Ms. Coryn B Clark, NP practice?

The practice location is 234 Glenbrook RD Unit 4011, Storrs, CT 06269-4011. The office can be reached at 860-486-4700 (phone) or 860-486-1765 (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 1447248760 directly on the NPPES registry website.

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