AUDREY R CLARK (NPI# 1598307530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598307530 |
| Entity Type | Individual |
| Full Name | AUDREY R CLARK |
| Other Name | AUDREY WOFFORD |
| Credential | CNP |
| Practice Address |
7936 Brady Rd Nw Albuquerque NM 87120-1246 |
| Practice Telephone | 5053524838 |
| Mailing Telephone | 5053524838 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
57708 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872959 | Audrey Clark | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-11 |
| 1679040950 | Audrey Diane Clark | Nurse Practitioner | 450 W River St, Orange, MA 01364-1435 | 2018-10-25 |
| 1376025130 | Audrey Clark | Speech-Language Pathologist | 4501 Dudmar Dr, Austin, TX 78735-6913 | 2018-08-29 |
| 1164961447 | Audrey Clark | Physical Therapist | 1471 Wills Creek Valley Dr, Cambridge, OH 43725-8620 | 2017-02-20 |
| Street Address |
7936 BRADY RD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536545 | Eglis Jane Pereyra | Nurse Practitioner | 5720 Lost Dutchman St Ne, Albuquerque, NM 87111-5903 | 2020-10-19 |
| 1467061895 | Bruna Brum Wynne | Nurse Practitioner | 933 Bradbury Dr Se Ste 2204, Albuquerque, NM 87106-4375 | 2020-07-31 |
| 1811522238 | Oso Medical Group, LLC | Nurse Practitioner | 2441 Menaul Blvd Ne, Albuquerque, NM 87107-1823 | 2020-03-05 |
| 1417595562 | Brandy Renee Chavez | Nurse Practitioner | 12205 Palm Springs Ave Ne, Albuquerque, NM 87111-5421 | 2019-12-18 |
| 1376058099 | Michael M Archuleta | Nurse Practitioner | 7912 Teaberry Rd Nw, Albuquerque, NM 87120-5275 | 2017-12-04 |
| 1811349194 | Tiffany Nicole Grant | Nurse Practitioner | 1501 San Pedro Dr Se Ste 111, Albuquerque, NM 87108-5180 | 2016-07-11 |
| 1093115271 | Maria De La Luz Nicole Webb | Nurse Practitioner | 2211 Lomas Blvd. Ne 2nd Floor, University of New Mexico Surgical Specialties Clinic, Albuquerque, NM 87106 | 2014-08-26 |
| 1891123485 | William Finley | Nurse Practitioner | Unmh Doim Cardiology Division, Msc 10 5550, Albuquerque, NM 87131-0001 | 2013-10-17 |
| 1780979278 | Maria Retunski | Nurse Practitioner | 10600 Royal Birkdale Ne, Unm Hospital, Department of Neurosurgery, Albuquerque, NM 87111-6571 | 2011-06-13 |
| 1205139805 | Revitalized Natural Health Center | Nurse Practitioner | 720 Lamp Post Cir Se, Albuquerque, NM 87123-4115 | 2010-12-21 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87120 |
Please comment or provide details below to improve the information on AUDREY R 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.