- Practice location
- 267 Ocean Ave, Portland, ME 04103-5707
- Phone
- 207-542-8233
- Fax
- —
- Last updated
- August 7, 2014
Nicole Tm Clark is an Emergency Medicine, Sports Medicine based in Portland, ME. Nicole Tm Clark practices in Portland, ME and has the professional credentials of ATC-L. The NPI Number for Nicole Tm Clark is 1841609484 and holds a License No. AT511 (ME). The current practice location address for Nicole Tm Clark is 267 Ocean Ave, Portland, ME 04103-5707 and can be reached out via phone at 207-542-8233.
Provider Profile Details
- NPI Number
- 1841609484
- Provider Name
- Nicole Tm Clark
- Credential
- ATC-L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 267 Ocean Ave, Portland, ME 04103-5707
- Phone Number
- 207-542-8233
- Primary Taxonomy
- Emergency Medicine, Sports Medicine · 207PS0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 7, 2014
- Last Update Date
- August 7, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 267 Ocean Ave
Portland, ME 04103-5707 - City
- Portland
- State
- Maine
- Zip
- 04103-5707
- Phone Number
- 207-542-8233
Provider Business Mailing Address Details
- Address
- 267 Ocean Ave
Portland, ME 04103-5707 - City
- Portland
- State
- ME
- Zip
- 04103-5707
- Phone Number
- 207-542-8233
License Information
- License Number
- AT511
- License State
- ME
- Taxonomy
- Emergency Medicine, Sports Medicine · 207PS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine, Sports Medicine providers near Portland, ME
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- MainehealthGeneral Acute Care Hospital · NPI 1962302935
- MainehealthGeneral Acute Care Hospital · NPI 1881594877
Frequently Asked Questions
What is the NPI number of Miss Nicole T Clark, ATC-L?
The NPI number of Miss Nicole T Clark, ATC-L is 1841609484. It was assigned on August 7, 2014 and is currently active in the NPPES registry.
What is the specialty of Miss Nicole T Clark, ATC-L?
Miss Nicole T Clark, ATC-L is registered under the primary taxonomy Emergency Medicine, Sports Medicine (code 207PS0010X), licensed in ME under license number AT511.
Where does Miss Nicole T Clark, ATC-L practice?
The practice location is 267 Ocean Ave, Portland, ME 04103-5707. The office can be reached at 207-542-8233 (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 1841609484 directly on the NPPES registry website.