CURTIS CLARK ACNP NPI 1962806786

NPI Information

  • NPI: 1962806786
  • Provider Name: CURTIS CLARK, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4063 W 12600 S # SABS
    RIVERTON, UT
    ZIP 84096
  • Phone: (801) 935-8180

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NPI Details

Curtis Clark, ACNP is an acute care nurse practitioner in Riverton, UT with 17 years of experience. Curtis Clark, ACNP NPI is 1962806786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4063 W 12600 S # SABS
RIVERTON, UT
ZIP 84096-302
Phone: (801) 935-8180
Fax: (801) 931-2307

The NPI 1962806786 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 10/22/2014 and was last updated on 12/5/2024.

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
1363LA2100XNurse PractitionerAcute Care5609506-4405UTAHYes

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: 3/30/2025

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