MRS. VIVIANNE MURIEL CLARK WHNP NPI 1225025489

NPI Information

NPI: 1225025489
Provider Name: MRS. VIVIANNE MURIEL CLARK, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
7155 E 38TH AVE
DENVER, CO
ZIP 80207
Phone: (303) 321-7526
Get Directions

MRS. Vivianne Muriel Clark, WHNP is a women's health nurse practitioner in Denver, CO. MRS. Vivianne Muriel Clark, WHNP NPI is 1225025489. 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:

7155 E 38TH AVE
DENVER, CO
ZIP 80207-630
Phone: (303) 321-7526
Fax: (303) 861-0268

The enumeration date for this NPI number is 10/3/2005 and was last updated on 11/3/2016.

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	363LW0102X	Nurse Practitioner	Women's Health	NP-291A	IDAHO	No
2	363LW0102X	Nurse Practitioner	Women's Health	CNP-01603	NEW MEXICO	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	NPRU3	OTHER	IDAHO	BLUE CROSS
2	000010029449	OTHER	IDAHO	BLUE SHIELD
3	41150783	MEDICAID	NEW MEXICO
4	805824600	MEDICAID	IDAHO

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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