MRS. ELIZABETH ANN CLARK (NPI# 1346604584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346604584 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ANN CLARK |
| Credential | FNP |
| Practice Address |
32 Allen Ct Staten Island NY 10310-2703 |
| Practice Telephone | 9175898628 |
| Mailing Telephone | 9175898628 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F340408-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| 1689989493 | Elizabeth Ann Clark | Pharmacist | 2601 S New Hope Rd, Gastonia, NC 28056-2200 | 2010-08-17 |
| Street Address |
32 ALLEN CT |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1215540638 | Shanna Hinckson | Nurse Practitioner | 53 Tillman St, Staten Island, NY 10314-5680 | 2020-08-25 |
| 1104438548 | Amanda Power | Nurse Practitioner | 64 Lovell Ave, Staten Island, NY 10314-4969 | 2020-08-18 |
| 1497367817 | Darya Olekhnovich | Nurse Practitioner | 25 Navesink Pl, Staten Island, NY 10306-5622 | 2020-08-18 |
| 1194335372 | Kimberly Sage | Nurse Practitioner | 36 Carly Ct, Staten Island, NY 10309-2735 | 2020-08-03 |
| 1932718855 | Christine Louise Lutrario | Nurse Practitioner | 293 Edinboro Rd, Staten Island, NY 10306-1204 | 2020-07-27 |
| 1447877592 | Mirena Khaimova | Nurse Practitioner | 302 Getz Ave, Staten Island, NY 10312-2433 | 2020-07-05 |
| 1063039220 | Hima Girish | Nurse Practitioner | 64 Galloway Ave, Staten Island, NY 10302-2528 | 2020-07-02 |
| 1245854314 | Desiree Joy Ambrosio | Nurse Practitioner | 45 Burnside Ave, Staten Island, NY 10302-2302 | 2020-06-03 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
Please comment or provide details below to improve the information on MRS. ELIZABETH ANN CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.