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MS. ELIZABETH MAURINE CLARK APRN FNP-BC NPI 1548514367


NPI Information

NPI: 1548514367
Provider Name: MS. ELIZABETH MAURINE CLARK, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DALLAS COUNTY HOSPITAL DISTRICT

PECOS Registration: Yes

Address:
6301 GASTON AVE STE 100W
DALLAS, TX
ZIP 75214
Phone: (214) 827-3610
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MS. Elizabeth Maurine Clark, APRN, FNP-BC is a family nurse practitioner in Dallas, TX with 12 years of experience. MS. Elizabeth Maurine Clark, APRN, FNP-BC NPI is 1548514367. 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:

6301 GASTON AVE STE 100W
DALLAS, TX
ZIP 75214
Phone: (214) 827-3610
Fax: (214) 821-4017

The NPI 1548514367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2012 and was last updated on 6/24/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily743837TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.