Danielle Nicole Clark, FNP is a
Nurse Practitioner based in Catalina, Arizona. Danielle Nicole Clark is licensed to practice in Arizona (license number 316125) and her current practice location is
15631 N Oracle Rd Ste 165, Catalina, Arizona. She can be reached at her office (for appointments etc.) via phone at
(520) 780-0304.
NPI number for Danielle Nicole Clark is 1508680398 and her current mailing address is Po Box 5296, Oracle, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508680398.
Provider's Profile
Full Name | Danielle Nicole Clark |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 15631 N Oracle Rd Ste 165, Catalina, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508680398
- Provider Enumeration Date: 11/08/2024
- Last Update Date: 11/08/2024
Medical Identifiers
Medical identifiers for Danielle Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508680398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 316125 (Arizona) | 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. Danielle Nicole 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 |
Danielle Nicole Clark, FNP Po Box 5296, Oracle, AZ 85623-5296 Ph: (520) 490-8557 | Danielle Nicole Clark, FNP 15631 N Oracle Rd Ste 165, Catalina, AZ 85739-8691 Ph: (520) 780-0304 |
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