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Kristen M Clark, NP
Critical Care Pediatric Nurse Practitioner in Providence, Rhode Island
NPI 1851668602

Kristen M Clark is a Critical Care Pediatric Nurse Practitioner based in Providence, RI and is specialized in Pediatrics, Critical Care. 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 (Rhode Island).

The current practice location address for Kristen M Clark is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-4201 and via fax at 401-444-5527.

Location: 593 Eddy St, Providence, RI, 02903-4923
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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
Provider Enumeration Date
11/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPP37652 01 RI LICENSE
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-4201
Fax Number
401-444-5527
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-4201
Fax Number
401-444-5527
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
NPP37652 (Rhode Island)
Definition
Definition to come...
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