Clarke, Michelle Lynn

Clarke, Michelle Lynn is an individual health care provider with primary practice located at 260 Elm St Suite 105, Somerville MA 02144-2951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clarke, Michelle Lynn can be contacted via phone (617) 666-9577.

Contact Information

Primary practice address
260 Elm St Suite 105 Somerville MA 02144-2951
Phone: (617) 666-9577
Fax: (617) 666-3190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2275315 Massachusetts

Profile Details

NPI number 1104187798
LBN Legal business name Clarke, Michelle Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated Mar 14th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104187798 NPPES
Massachusetts Other 002800301 MEDICARE PTAN

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