DR. TARA CLARK PMHDNP NPI 1083199269

NPI Information

NPI: 1083199269
Provider Name: DR. TARA CLARK, PMHDNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
600 S DOBSON RD STE E36
CHANDLER, AZ
ZIP 85224
Phone: (480) 471-8560
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DR. Tara Clark, PMHDNP is a psychiatric/mental health nurse practitioner in Chandler, AZ. DR. Tara Clark, PMHDNP NPI is 1083199269. 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:

600 S DOBSON RD STE E36
CHANDLER, AZ
ZIP 85224-693
Phone: (480) 471-8560

The enumeration date for this NPI number is 10/3/2018 and was last updated on 10/3/2018.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2018023496	ARIZONA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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