LYNN A CLARK ARNP NPI 1023024940

NPI Information

NPI: 1023024940
Provider Name: LYNN A CLARK, ARNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
1708 YAKIMA AVE STE 203
TACOMA, WA
ZIP 98405
Phone: (253) 382-8150
Get Directions

Lynn A Clark, ARNP is a women's health nurse practitioner in Tacoma, WA. Lynn A Clark, ARNP NPI is 1023024940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1708 YAKIMA AVE STE 203
TACOMA, WA
ZIP 98405-300
Phone: (253) 382-8150
Fax: (253) 985-6812

The enumeration date for this NPI number is 7/31/2006 and was last updated on 12/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	AP30002563	WASHINGTON	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	AP30002563	WASHINGTON	No
3	363LW0102X	Nurse Practitioner	Women's Health	AP30002563	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0191324	OTHER	WASHINGTON	STATE L&I
2	1042540	MEDICAID	WASHINGTON
3	8939401	OTHER	WASHINGTON	STATE CRIME VICTIMS
4	9607680	MEDICAID	WASHINGTON
5	0191325	OTHER	WASHINGTON	STATE L&I
6	0207828	OTHER	WASHINGTON	STATE L&I
7	P00354459	OTHER	WASHINGTON	MEDICARE RAILROAD
8	8939483	OTHER	WASHINGTON	STATE CRIME VICTIMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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