Active NPIIndividual provider

Bethia Clark

Nurse Practitioner, Family in Woonsocket, Rhode Island

NPI Number1558541334
Practice location
1 CVS Drive, Woonsocket, RI 02895
Fax
—
Last updated
October 13, 2010

Bethia Clark is a Nurse Practitioner, Family based in Woonsocket, RI. Bethia Clark practices in Woonsocket, RI. The NPI Number for Bethia Clark is 1558541334 and holds a License No. ARNP3286272 (FL). The current practice location address for Bethia Clark is 1 CVS Drive, Woonsocket, RI 02895 and can be reached out via phone at 612-225-1534.

Provider Profile Details

NPI Number
1558541334
Provider Name
Bethia Clark
Provider Entity Type
Individual
Gender
Female
Address
1 CVS Drive, Woonsocket, RI 02895
Phone Number
612-225-1534
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
-- Bethia Phaneuf (Former Name)
Provider Enumeration Date
November 8, 2007
Last Update Date
October 13, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 CVS Drive
Woonsocket, RI 02895
Zip
02895
Phone Number
612-225-1534
Woonsocket, RI 02895Get directions →

Provider Business Mailing Address Details

Address
1 CVS Drive
Woonsocket, RI 02895
City
Woonsocket
State
RI
Zip
02895
Phone Number
612-225-1534

License Information

License Number
ARNP3286272
License State
FL
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 Bethia Clark?

The NPI number of Bethia Clark is 1558541334. It was assigned on November 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Bethia Clark?

Bethia Clark is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in FL under license number ARNP3286272.

Where does Bethia Clark practice?

The practice location is 1 CVS Drive, Woonsocket, RI 02895. The office can be reached at 612-225-1534 (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 1558541334 directly on the NPPES registry website.

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