Deirdre M Clark, NP
Nurse Practitioner, Adult Health in Willimantic, Connecticut
1811251713- Practice location
- 5 Founders St Ste 102, Willimantic, CT 06226-2050
- Phone
- 860-456-2898
- Fax
- —
- Last updated
- April 25, 2023
Deirdre M Clark is a Nurse Practitioner, Adult Health based in Willimantic, CT. Deirdre M Clark practices in Willimantic, CT and has the professional credentials of NP. The NPI Number for Deirdre M Clark is 1811251713 and holds a License No. NPP37710 (RI). The current practice location address for Deirdre M Clark is 5 Founders St Ste 102, Willimantic, CT 06226-2050 and can be reached out via phone at 860-456-2898.
Provider Profile Details
- NPI Number
- 1811251713
- Provider Name
- Deirdre M Clark
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5 Founders St Ste 102, Willimantic, CT 06226-2050
- Phone Number
- 860-456-2898
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2012
- Last Update Date
- April 25, 2023
- Certification Date
- April 25, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Founders St Ste 102
Willimantic, CT 06226-2050 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2050
- Phone Number
- 860-456-2898
Provider Business Mailing Address Details
- Address
- 326 Washington St
Norwich, CT 06360-2740 - City
- Norwich
- State
- CT
- Zip
- 06360-2740
- Phone Number
- 860-889-8331
License Information
- License Number (1)
- NPP37710
- License State (1)
- RI
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- NPP37710
- License State (2)
- RI
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X
- License Number (3)
- 7460
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Adult Health · 363LA2200X · 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 Deirdre M Clark, NP?
The NPI number of Deirdre M Clark, NP is 1811251713. It was assigned on June 26, 2012 and is currently active in the NPPES registry.
What is the specialty of Deirdre M Clark, NP?
Deirdre M Clark, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in RI under license number NPP37710.
Where does Deirdre M Clark, NP practice?
The practice location is 5 Founders St Ste 102, Willimantic, CT 06226-2050. The office can be reached at 860-456-2898 (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 1811251713 directly on the NPPES registry website.