- Practice location
- 112 Sanford RD, Wells, ME 04090-5533
- Phone
- 207-646-5211
- Fax
- —
- Last updated
- July 23, 2024
Samuel Clark is a Nurse Practitioner, Family based in Wells, ME. Samuel Clark practices in Wells, ME and has the professional credentials of FNP. The NPI Number for Samuel Clark is 1720245673 and holds a License No. CNP241398 (ME). The current practice location address for Samuel Clark is 112 Sanford RD, Wells, ME 04090-5533 and can be reached out via phone at 207-646-5211.
Provider Profile Details
- NPI Number
- 1720245673
- Provider Name
- Samuel Clark
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 112 Sanford RD, Wells, ME 04090-5533
- Phone Number
- 207-646-5211
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 19, 2008
- Last Update Date
- July 23, 2024
- Certification Date
- July 23, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Sanford RD
Wells, ME 04090-5533 - City
- Wells
- State
- Maine
- Zip
- 04090-5533
- Phone Number
- 207-646-5211
Provider Business Mailing Address Details
- Address
- 317 Laudholm Farm RD
Wells, ME 04090-4707 - City
- Wells
- State
- ME
- Zip
- 04090-4707
- Phone Number
- 617-320-5256
License Information
- License Number
- CNP241398
- License State
- ME
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · 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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- Dr. Erica L England, PHDPsychologist, Clinical · NPI 1265720890
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- Christine M Tremblay, DOFamily Medicine · NPI 1457434573
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Frequently Asked Questions
What is the NPI number of Samuel Clark, FNP?
The NPI number of Samuel Clark, FNP is 1720245673. It was assigned on May 19, 2008 and is currently active in the NPPES registry.
What is the specialty of Samuel Clark, FNP?
Samuel Clark, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP241398.
Where does Samuel Clark, FNP practice?
The practice location is 112 Sanford RD, Wells, ME 04090-5533. The office can be reached at 207-646-5211 (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 1720245673 directly on the NPPES registry website.