MS. CHRISTINA MACDONALD FRASER CLARK MSN.FNP NPI 1861520504

NPI Information

NPI: 1861520504
Provider Name: MS. CHRISTINA MACDONALD FRASER CLARK, MSN.FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
330 ELLIS ST
GLIDE HEALTH SERVICES
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 674-6130
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MS. Christina Macdonald Fraser Clark, MSN.FNP is a family nurse practitioner in San Francisco, CA. MS. Christina Macdonald Fraser Clark, MSN.FNP NPI is 1861520504. 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:

330 ELLIS ST
GLIDE HEALTH SERVICES
SAN FRANCISCO, CA
ZIP 94102-735
Phone: (415) 674-6130
Fax: (415) 673-1037

The NPI 1861520504 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 3/2/2007 and was last updated on 5/4/2012.

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	363LF0000X	Nurse Practitioner	Family	C367540	CALIFORNIA	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	98809	MEDICARE UPIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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