NANCY L CLARK PA-C NPI 1831230911

NPI Information

Nancy L Clark, PA-C is a medical physician assistant in Bellevue, WA with 34 years of experience. Nancy L Clark, PA-C NPI is 1831230911. 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:

13033 BELLEVUE REDMOND RD
#110
BELLEVUE, WA
ZIP 98005-633
Phone: (425) 468-6500
Fax: (425) 468-6501

The NPI 1831230911 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 2/9/2007 and was last updated on 9/15/2008.

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:

Other Identifiers

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

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