Active NPIIndividual providerSole proprietor

Chelsea C Clark, RN, IBCLC

Registered Nurse, Lactation Consultant in Fairfax, Vermont

NPI Number1578891040
Practice location
15 East RD Unit 102, Fairfax, VT 05454-4450
Fax
—
Last updated
December 12, 2019

Chelsea C Clark is a Registered Nurse, Lactation Consultant based in Fairfax, VT. Chelsea C Clark practices in Fairfax, VT and has the professional credentials of RN, IBCLC. The NPI Number for Chelsea C Clark is 1578891040 and holds a License No. 026.0086622 (VT). The current practice location address for Chelsea C Clark is 15 East RD Unit 102, Fairfax, VT 05454-4450 and can be reached out via phone at 802-363-3297.

Provider Profile Details

NPI Number
1578891040
Provider Name
Chelsea C Clark
Credential
RN, IBCLC
Provider Entity Type
Individual
Gender
Female
Address
15 East RD Unit 102, Fairfax, VT 05454-4450
Phone Number
802-363-3297
Primary Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X
Sole Proprietor
Yes
Provider Enumeration Date
November 22, 2009
Last Update Date
December 12, 2019
Certification Date
December 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 East RD Unit 102
Fairfax, VT 05454-4450
State
Vermont
Zip
05454-4450
Phone Number
802-363-3297
Fairfax, VT 05454Get directions →

Provider Business Mailing Address Details

Address
15 East RD Unit 102
Fairfax, VT 05454-4450
City
Fairfax
State
VT
Zip
05454-4450
Phone Number
802-363-3297

License Information

License Number
026.0086622
License State
VT
Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X · 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 Chelsea C Clark, RN, IBCLC?

The NPI number of Chelsea C Clark, RN, IBCLC is 1578891040. It was assigned on November 22, 2009 and is currently active in the NPPES registry.

What is the specialty of Chelsea C Clark, RN, IBCLC?

Chelsea C Clark, RN, IBCLC is registered under the primary taxonomy Registered Nurse, Lactation Consultant (code 163WL0100X), licensed in VT under license number 026.0086622.

Where does Chelsea C Clark, RN, IBCLC practice?

The practice location is 15 East RD Unit 102, Fairfax, VT 05454-4450. The office can be reached at 802-363-3297 (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 1578891040 directly on the NPPES registry website.

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