LINDA CLARK APRN-BC NPI 1952491797

NPI Information

NPI: 1952491797
Provider Name: LINDA CLARK, APRN-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4630 CAMPUS DR STE 112
NEWPORT BEACH, CA
ZIP 92660
Phone: (951) 201-7708
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Linda Clark, APRN-BC is a family nurse practitioner in Newport Beach, CA. Linda Clark, APRN-BC NPI is 1952491797. 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:

4630 CAMPUS DR STE 112
NEWPORT BEACH, CA
ZIP 92660-804
Phone: (951) 201-7708

The NPI 1952491797 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 10/13/2006 and was last updated on 3/11/2021.

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	163WG0000X	Registered Nurse	General Practice	NP16640	CALIFORNIA	No
2	207Q00000X	Family Medicine		NP16640	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	NP16640	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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