MRS. REBECCA THERESA CLARK RN NPI 1114331543

NPI Information

NPI: 1114331543
Provider Name: MRS. REBECCA THERESA CLARK, RN
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
3236 KIRKMAN ST
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 478-6020
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MRS. Rebecca Theresa Clark, RN is a community health registered nurse in Lake Charles, LA. MRS. Rebecca Theresa Clark, RN NPI is 1114331543. 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:

3236 KIRKMAN ST
LAKE CHARLES, LA
ZIP 70601-640
Phone: (337) 478-6020
Fax: (337) 475-4820

The enumeration date for this NPI number is 6/13/2014 and was last updated on 6/13/2014.

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	163WC1500X	Registered Nurse	Community Health	RN088489	LOUISIANA	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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