National Provider Identifier
Rachel L Clark, NP-C
Rachel L Clark, NP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 255-5155.
Profile Overview
- NPI
- 1740518646
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- December 03, 2009
- Last Updated
- April 29, 2024
Practice Location
- 110 Ho Plz
- Ithaca, NY 14853-3102
Phone: (607) 255-5155
Specialties
- Family Nurse Practitioner (363LF0000X)
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1740518646
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Rachel
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- NP-C
- Mailing Street Address
- 110 Ho Plz
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-3102
- Mailing Country
- US
- Mailing Phone
- (607) 255-5155
- Practice Street Address
- 110 Ho Plz
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-3102
- Practice Country
- US
- Practice Phone
- (607) 255-5155
- Enumeration Date
- December 03, 2009
- Last Updated
- April 29, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 29, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- COA.11193-NP (OH, Certified Nurse Practitioner), RN.355902-COA1 (OH, RN)