Active NPIIndividual provider

Mr. Michael Clark, NP

Nurse Practitioner in Providence, Rhode Island

NPI Number1942653688
Practice location
593 Eddy St, Apc Suite 523, Providence, RI 02903-4923
Fax
—
Last updated
November 24, 2020

Michael Clark is a Nurse Practitioner based in Providence, RI. Michael Clark practices in Providence, RI and has the professional credentials of NP. The NPI Number for Michael Clark is 1942653688 and holds a License No. APRN01380 (RI). The current practice location address for Michael Clark is 593 Eddy St, Apc Suite 523, Providence, RI 02903-4923 and can be reached out via phone at 401-444-8467.

Provider Profile Details

NPI Number
1942653688
Provider Name
Michael Clark
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Apc Suite 523, Providence, RI 02903-4923
Phone Number
401-444-8467
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2016
Last Update Date
November 24, 2020
Certification Date
November 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Apc Suite 523
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-8467
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
593 Eddy St
Apc Suite 523
Providence, RI 02903-4923
City
Providence
State
RI
Zip
02903-4923
Phone Number
401-444-8467

License Information

License Number (1)
APRN01380
License State (1)
RI
License Number (2)
APRN01380
License State (2)
RI
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Mr. Michael Clark, NP?

The NPI number of Mr. Michael Clark, NP is 1942653688. It was assigned on July 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael Clark, NP?

Mr. Michael Clark, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in RI under license number APRN01380.

Where does Mr. Michael Clark, NP practice?

The practice location is 593 Eddy St, Apc Suite 523, Providence, RI 02903-4923. The office can be reached at 401-444-8467 (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 1942653688 directly on the NPPES registry website.

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