LIN CLARK NPI 1770044570

NPI Information

NPI: 1770044570
Provider Name: LIN CLARK
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5383 S 900 E STE 103
MURRAY, UT
ZIP 84117
Phone: (801) 872-5516
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Lin Clark is a psychiatric/mental health nurse practitioner in Murray, UT with 6 years of experience. Lin Clark NPI is 1770044570. 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:

5383 S 900 E STE 103
MURRAY, UT
ZIP 84117-266
Phone: (801) 872-5516

The NPI 1770044570 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.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 6/22/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11837302-4405	UTAH	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60944162	WASHINGTON	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: 5/5/2024

NPI Synchronization or Removal

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