Active NPIIndividual provider

Kristen M Clark, NP

Nurse Practitioner, Pediatrics, Critical Care in Providence, Rhode Island

NPI Number1851668602
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-444-5527
Last updated
November 22, 2011

Kristen M Clark is a Nurse Practitioner, Pediatrics, Critical Care based in Providence, RI. Kristen M Clark practices in Providence, RI and has the professional credentials of NP. The NPI Number for Kristen M Clark is 1851668602 and holds a License No. NPP37652 (RI). The current practice location address for Kristen M Clark is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-4201 and via fax at 401-444-5527.

Provider Profile Details

NPI Number
1851668602
Provider Name
Kristen M Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-4201
Fax Number
401-444-5527
Primary Taxonomy
Nurse Practitioner, Pediatrics, Critical Care · 363LP0222X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2011
Last Update Date
November 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-4201
Fax Number
401-444-5527
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
593 Eddy St
Hasbro 122
Providence, RI 02903-4923
City
Providence
State
RI
Zip
02903-4923
Phone Number
401-444-4201
Fax Number
401-444-5527

License Information

License Number
NPP37652
License State
RI
Taxonomy
Nurse Practitioner, Pediatrics, Critical Care · 363LP0222X · 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 Kristen M Clark, NP?

The NPI number of Kristen M Clark, NP is 1851668602. It was assigned on November 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Kristen M Clark, NP?

Kristen M Clark, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics, Critical Care (code 363LP0222X), licensed in RI under license number NPP37652.

Where does Kristen M Clark, NP practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-4201 (phone) or 401-444-5527 (fax).

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 1851668602 directly on the NPPES registry website.

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