Nicole Angelynne Rymer Clark, SUDRC is a
Case Manager/care Coordinator based in El Dorado Hills, California. Nicole Angelynne Rymer Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
4805 Golden Foothill Pkwy, El Dorado Hills, California. She can be reached at her office (for appointments etc.) via phone at
(530) 644-2412.
NPI number for Nicole Angelynne Rymer Clark is 1487234407 and her current mailing address is 4805 Golden Foothill Pkwy, El Dorado Hills, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487234407.
Healthcare Provider's Profile
| Full Name | Nicole Angelynne Rymer Clark |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 4805 Golden Foothill Pkwy, El Dorado Hills, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487234407
- Provider Enumeration Date: 04/13/2021
- Last Update Date: 01/02/2025
Medical Identifiers
Medical identifiers for Nicole Angelynne Rymer Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487234407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11731 (California) | Secondary |
| 172V00000X | Community Health Worker | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Nicole Angelynne Rymer Clark 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 |
|---|
Nicole Angelynne Rymer Clark, SUDRC
4805 Golden Foothill Pkwy,
El Dorado Hills, CA 95762-9651
Ph: (530) 644-2412 | Nicole Angelynne Rymer Clark, SUDRC
4805 Golden Foothill Pkwy,
El Dorado Hills, CA 95762-9651
Ph: (530) 644-2412 |
Reviews and Comments