Active NPIIndividual providerSole proprietor

Dr. Thayer A Clark, DNP

Nurse Practitioner, Family in Thomaston, Connecticut

NPI Number1477052157
Practice location
76 Watertown RD Ste 2F, Thomaston, CT 06787-1826
Fax
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Last updated
September 29, 2026

Thayer A Clark is a Nurse Practitioner, Family based in Thomaston, CT. Thayer A Clark practices in Thomaston, CT and has the professional credentials of DNP. The NPI Number for Thayer A Clark is 1477052157 and holds a License No. 7667 (CT). The current practice location address for Thayer A Clark is 76 Watertown RD Ste 2F, Thomaston, CT 06787-1826 and can be reached out via phone at 860-880-8091.

Provider Profile Details

NPI Number
1477052157
Provider Name
Thayer A Clark
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
76 Watertown RD Ste 2F, Thomaston, CT 06787-1826
Phone Number
860-880-8091
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2018
Last Update Date
September 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Watertown RD Ste 2F
Thomaston, CT 06787-1826
Zip
06787-1826
Phone Number
860-880-8091
Thomaston, CT 06787Get directions →

Provider Business Mailing Address Details

Address
20 Essex Ln
Woodbury, CT 06798-2600
City
Woodbury
State
CT
Zip
06798-2600
Phone Number
203-232-2017

License Information

License Number
7667
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Dr. Thayer A Clark, DNP?

The NPI number of Dr. Thayer A Clark, DNP is 1477052157. It was assigned on February 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Thayer A Clark, DNP?

Dr. Thayer A Clark, DNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 7667.

Where does Dr. Thayer A Clark, DNP practice?

The practice location is 76 Watertown RD Ste 2F, Thomaston, CT 06787-1826. The office can be reached at 860-880-8091 (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 1477052157 directly on the NPPES registry website.

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