Clark, Elizabeth N

Clark, Elizabeth N is an individual health care provider with primary practice located at 874 Purchase St , New Bedford MA 02740-6232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clark, Elizabeth N can be contacted via phone (508) 992-6553.

Contact Information

Primary practice address
874 Purchase St New Bedford MA 02740-6232
Phone: (508) 992-6553
Fax: (508) 990-7558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 204438 Massachusetts

Profile Details

NPI number 1619911435
LBN Legal business name Clark, Elizabeth N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 7th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619911435 NPPES
Massachusetts Other 412832 BCBSRI BLUE CHIP
Massachusetts Other 0037494 BCBSRI BLUE CHIP
Massachusetts MEDICAID 0703729 BCBSRI BLUE CHIP
Massachusetts Other 09774-3 BCBSRI BLUE CHIP
Massachusetts Other 87495 BCBSRI BLUE CHIP
Massachusetts Other NP5006 BCBSRI BLUE CHIP

Popular Providers