Clark, Deirdre M

Clark, Deirdre M is an individual health care provider with primary practice located at 5 Founders St Ste 102 , Willimantic CT 06226-2050. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Clark, Deirdre M can be contacted via phone (860) 456-2898.

Contact Information

Primary practice address
5 Founders St Ste 102 Willimantic CT 06226-2050
Phone: (860) 456-2898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NPP37710 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NPP37710 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 7460 Connecticut

Profile Details

NPI number 1811251713
LBN Legal business name Clark, Deirdre M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Apr 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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