Individual
KRISTEN M CLARK
Active
Individual
KRISTEN M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
NPP37652
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP37652
LICENSE
RI
Enumeration date
11/22/2011
Last updated
11/22/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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