MAR Y LOUISE CLEMSON RNCS NPI 1750563086

NPI Information

NPI: 1750563086
Provider Name: MAR Y LOUISE CLEMSON, RNCS
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
602 MASSACHUSETTS AVE
NORFOLK, VA
ZIP 23508
Phone: (757) 622-6673
Get Directions

Mar Y Louise Clemson, RNCS is a psychiatric/mental health registered nurse in Norfolk, VA. Mar Y Louise Clemson, RNCS NPI is 1750563086. 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:

602 MASSACHUSETTS AVE
NORFOLK, VA
ZIP 23508-118
Phone: (757) 622-6673
Fax: (757) 622-6673

The NPI 1750563086 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 11/28/2007 and was last updated on 3/26/2008.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	1193801	VIRGINIA	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	P00071810	OTHER	VIRGINIA	RAILROAD
2	C08982	OTHER	VIRGINIA	MEDICARE
3	101868	OTHER	VIRGINIA	ANTHEM INDIVIDUAL
4	101867	OTHER	VIRGINIA	ANTHEM GROUP
5	00V835M82	MEDICARE PIN	VIRGINIA

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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