Feifert Clark, Kristen Nancy

Feifert Clark, Kristen Nancy is an individual health care provider with primary practice located at 22 West St Ste 25 , Millbury MA 01527-2622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Feifert Clark, Kristen Nancy can be contacted via phone (508) 917-6720.

Contact Information

Primary practice address
22 West St Ste 25 Millbury MA 01527-2622
Phone: (508) 917-6720
Fax: (508) 917-6721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN242199 Massachusetts

Profile Details

NPI number 1063841534
LBN Legal business name Feifert Clark, Kristen Nancy
Credentials MSN CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2013
Last updated Oct 6th, 2016 - about 9 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 1063841534 NPPES
Massachusetts Other 110099291A MEDICAID PTAN
Massachusetts Other S100140020 MEDICAID PTAN

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