Active NPIIndividual provider

Kristin D Clark, CRNA

Nurse Anesthetist, Certified Registered in Lebanon, New Hampshire

NPI Number1942465810
Practice location
1 Medical Center Dr Dept Of, Lebanon, NH 03756-0001
Fax
—
Last updated
March 29, 2021

Kristin D Clark is a Nurse Anesthetist, Certified Registered based in Lebanon, NH. Kristin D Clark practices in Lebanon, NH and has the professional credentials of CRNA. The NPI Number for Kristin D Clark is 1942465810 and holds a License No. 051026-23 (NH). The current practice location address for Kristin D Clark is 1 Medical Center Dr Dept Of, Lebanon, NH 03756-0001 and can be reached out via phone at 603-650-5922.

Provider Profile Details

NPI Number
1942465810
Provider Name
Kristin D Clark
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr Dept Of, Lebanon, NH 03756-0001
Phone Number
603-650-5922
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2008
Last Update Date
March 29, 2021
Certification Date
March 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr Dept Of
Lebanon, NH 03756-0001
Zip
03756-0001
Phone Number
603-650-5922
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr Dept Of
Lebanon, NH 03756-0001
City
Lebanon
State
NH
Zip
03756-0001
Phone Number
603-650-5922

License Information

License Number (1)
051026-23
License State (1)
NH
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
R034805
License State (2)
ME
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · 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 Kristin D Clark, CRNA?

The NPI number of Kristin D Clark, CRNA is 1942465810. It was assigned on July 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Kristin D Clark, CRNA?

Kristin D Clark, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NH under license number 051026-23.

Where does Kristin D Clark, CRNA practice?

The practice location is 1 Medical Center Dr Dept Of, Lebanon, NH 03756-0001. The office can be reached at 603-650-5922 (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 1942465810 directly on the NPPES registry website.

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