Active NPIIndividual provider

Audrey D Clark, FNP-C

Nurse Practitioner, Family in Orange, Massachusetts

NPI Number1679040950
Practice location
450 W River St, Orange, MA 01364-1435
Fax
—
Last updated
October 25, 2018

Audrey Diane Clark is a Nurse Practitioner, Family based in Orange, MA. Audrey Diane Clark practices in Orange, MA and has the professional credentials of FNP-C. The NPI Number for Audrey Diane Clark is 1679040950 and holds a License No. RN2311962 (MA). The current practice location address for Audrey Diane Clark is 450 W River St, Orange, MA 01364-1435 and can be reached out via phone at 978-544-7800.

Provider Profile Details

NPI Number
1679040950
Provider Name
Audrey Diane Clark
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
450 W River St, Orange, MA 01364-1435
Phone Number
978-544-7800
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2018
Last Update Date
October 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 W River St
Orange, MA 01364-1435
City
Orange
Zip
01364-1435
Phone Number
978-544-7800
Orange, MA 01364Get directions →

Provider Business Mailing Address Details

Address
450 W River St
Orange, MA 01364-1435
City
Orange
State
MA
Zip
01364-1435
Phone Number
978-544-7800

License Information

License Number
RN2311962
License State
MA
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 Audrey D Clark, FNP-C?

The NPI number of Audrey D Clark, FNP-C is 1679040950. It was assigned on October 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Audrey D Clark, FNP-C?

Audrey D Clark, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2311962.

Where does Audrey D Clark, FNP-C practice?

The practice location is 450 W River St, Orange, MA 01364-1435. The office can be reached at 978-544-7800 (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 1679040950 directly on the NPPES registry website.

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