Chelsea C Clark, RN, IBCLC is a
Registered Nurse - Lactation Consultant based in Fairfax, Vermont. Chelsea C Clark is licensed to practice in Vermont (license number 026.0086622) and her current practice location is
15 East Rd Unit 102, Fairfax, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 363-3297.
NPI number for Chelsea C Clark is 1578891040 and her current mailing address is 15 East Rd Unit 102, Fairfax, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578891040.
Provider's Profile
Full Name | Chelsea C Clark |
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Gender | Female |
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Speciality | Registered Nurse - Lactation Consultant |
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Location | 15 East Rd Unit 102, Fairfax, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578891040
- Provider Enumeration Date: 11/22/2009
- Last Update Date: 12/12/2019
Medical Identifiers
Medical identifiers for Chelsea C Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578891040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WL0100X | Registered Nurse - Lactation Consultant | 026.0086622 (Vermont) | 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. Chelsea C 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 |
Chelsea C Clark, RN, IBCLC 15 East Rd Unit 102, Fairfax, VT 05454-4450 Ph: (802) 363-3297 | Chelsea C Clark, RN, IBCLC 15 East Rd Unit 102, Fairfax, VT 05454-4450 Ph: (802) 363-3297 |
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