CLINT MATTHEW WARD NPI 1104509116

NPI Information

  • NPI: 1104509116
  • Provider Name: CLINT MATTHEW WARD
  • Classification: Registered Nurse - 163WA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2650 E BROADVIEW AVE
    WASILLA, AK
    ZIP 99654
  • Phone: (907) 631-3133

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NPI Details

Clint Matthew Ward is an addiction (substance use disorder) registered nurse in Wasilla, AK. Clint Matthew Ward NPI is 1104509116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2650 E BROADVIEW AVE
WASILLA, AK
ZIP 99654-302
Phone: (907) 631-3133

The enumeration date for this NPI number is 8/8/2023 and was last updated on 8/8/2023.

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
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)164807ALASKAYes

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: 11/21/2025

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