- Practice location
- 364 Maine St, Poland, ME 04274-5109
- Phone
- 207-312-8987
- Fax
- —
- Last updated
- May 28, 2025
Krysta Ellen Clark is a Registered Nurse, Diabetes Educator based in Poland, ME. Krysta Ellen Clark practices in Poland, ME. The NPI Number for Krysta Ellen Clark is 1487447736 and holds a License No. RN74374 (ME). The current practice location address for Krysta Ellen Clark is 364 Maine St, Poland, ME 04274-5109 and can be reached out via phone at 207-312-8987.
Provider Profile Details
- NPI Number
- 1487447736
- Provider Name
- Krysta Ellen Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 364 Maine St, Poland, ME 04274-5109
- Phone Number
- 207-312-8987
- Primary Taxonomy
- Registered Nurse, Diabetes Educator · 163WD0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 28, 2025
- Last Update Date
- May 28, 2025
- Certification Date
- May 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 364 Maine St
Poland, ME 04274-5109 - City
- Poland
- State
- Maine
- Zip
- 04274-5109
- Phone Number
- 207-312-8987
Provider Business Mailing Address Details
- Address
- 364 Maine St
Poland, ME 04274-5109 - City
- Poland
- State
- ME
- Zip
- 04274-5109
- Phone Number
- 207-312-8987
License Information
- License Number
- RN74374
- License State
- ME
- Taxonomy
- Registered Nurse, Diabetes Educator · 163WD0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Krysta E Clark?
The NPI number of Krysta E Clark is 1487447736. It was assigned on May 28, 2025 and is currently active in the NPPES registry.
What is the specialty of Krysta E Clark?
Krysta E Clark is registered under the primary taxonomy Registered Nurse, Diabetes Educator (code 163WD0400X), licensed in ME under license number RN74374.
Where does Krysta E Clark practice?
The practice location is 364 Maine St, Poland, ME 04274-5109. The office can be reached at 207-312-8987 (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 1487447736 directly on the NPPES registry website.