MS. EVELYN BARDAGO CLARK MSN ANP NP-C NPI 1508208307

NPI Information

NPI: 1508208307
Provider Name: MS. EVELYN BARDAGO CLARK, MSN, ANP, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: COLORADO URGENT CARE PLLC

PECOS Registration: Yes

Address:
1011 39TH AVE
GREELEY, CO
ZIP 80634
Phone: (970) 351-8181
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MS. Evelyn Bardago Clark, MSN, ANP, NP-C is a family nurse practitioner in Greeley, CO with 12 years of experience. MS. Evelyn Bardago Clark, MSN, ANP, NP-C NPI is 1508208307. 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:

1011 39TH AVE
GREELEY, CO
ZIP 80634-504
Phone: (970) 351-8181

The NPI 1508208307 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 7/22/2013 and was last updated on 12/18/2020.

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	0990763	COLORADO	Yes
2	363LF0000X	Nurse Practitioner	Family	23234	CALIFORNIA	No

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

NPI Synchronization or Removal

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