ELIZABETH N CLARK N.P. NPI 1619911435

NPI Information

  • NPI: 1619911435
  • Provider Name: ELIZABETH N CLARK, N.P.
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 874 PURCHASE ST
    NEW BEDFORD, MA
    ZIP 02740
  • Phone: (508) 992-6553

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NPI Details

Elizabeth N Clark, N.P. is a nurse practitioner in New Bedford, MA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Elizabeth N Clark, N.P. NPI is 1619911435. 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:

874 PURCHASE ST
NEW BEDFORD, MA
ZIP 02740-232
Phone: (508) 992-6553
Fax: (508) 990-7558

The enumeration date for this NPI number is 6/15/2006 and was last updated on 6/7/2011.

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
1363L00000XNurse Practitioner204438MASSACHUSETTSYes

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
1412832OTHERMASSACHUSETTSBCBSRI BLUE CHIP
2YU-NP5006MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE
30037494OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH
487495OTHERMASSACHUSETTSCHILDRENS MEDICAL SECURIT
5Q42432MEDICARE UPINMASSACHUSETTS
6NP5006OTHERMASSACHUSETTSBCBSMA
709774-3OTHERMASSACHUSETTSBCBSRI
80703729MEDICAIDMASSACHUSETTS

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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