Ms Evelyn Louise Clough, ANP, CDCII is a
Nurse Practitioner - Psychiatric/mental Health based in Soldotna, Alaska. Ms Evelyn Louise Clough is licensed to practice in Alaska (license number 668) and her current practice location is
44539 Sterling Hwy, Suite 105, Soldotna, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 262-5324.
NPI number for Ms Evelyn Louise Clough is 1124092655 and her current mailing address is Po Box 1015, Soldotna, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124092655.
Healthcare Provider's Profile
| Full Name | Ms Evelyn Louise Clough |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 44539 Sterling Hwy, Soldotna, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124092655
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 06/08/2010
Medical Identifiers
Medical identifiers for Ms Evelyn Louise Clough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124092655 | NPI | - | NPPES |
| NP4248 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1091 (Alaska) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 668 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Evelyn Louise Clough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Evelyn Louise Clough, ANP, CDCII
Po Box 1015,
Soldotna, AK 99669-1015
Ph: (907) 262-5324 | Ms Evelyn Louise Clough, ANP, CDCII
44539 Sterling Hwy, Suite 105,
Soldotna, AK 99669-7938
Ph: (907) 262-5324 |
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