MS. CORYN B CLARK NP NPI 1447248760

NPI Information

  • NPI: 1447248760
  • Provider Name: MS. CORYN B CLARK, NP
  • Classification: Clinical Nurse Specialist - 364SA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 234 GLENBROOK RD UNIT 4011
    STORRS, CT
    ZIP 06269
  • Phone: (860) 486-4700

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NPI Details

MS. Coryn B Clark, NP is an adult health clinical nurse specialist in Storrs, CT. MS. Coryn B Clark, NP NPI is 1447248760. 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:

234 GLENBROOK RD UNIT 4011
STORRS, CT
ZIP 06269-011
Phone: (860) 486-4700
Fax: (860) 486-1765

The enumeration date for this NPI number is 10/11/2005 and was last updated on 12/5/2016.

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
1364SA2200XClinical Nurse SpecialistAdult Health001316CONNECTICUTYes

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
1P05800MEDICARE UPIN

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: 3/30/2025

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