Mrs Carol W Clark, RN, BSN - Registered Nurse in Fort Collins, CO

Mrs Carol W Clark, RN, BSN is a Registered Nurse - College Health based in Fort Collins, Colorado. Mrs Carol W Clark is licensed to practice in Colorado (license number 84-6000-545) and her current practice location is 600 South Drive, Fort Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at (970) 491-7121.

NPI number for Mrs Carol W Clark is 1346532751 and her current mailing address is 600 South Drive, Fort Colloins, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346532751.

Contact Information

Mrs Carol W Clark, RN, BSN
600 South Drive,
Fort Collins, CO 80523
(970) 491-7121
Not Available

Map and Direction




Provider's Profile

Full NameMrs Carol W Clark
GenderFemale
SpecialityRegistered Nurse - College Health
Location600 South Drive, Fort Collins, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346532751
  • Provider Enumeration Date: 05/04/2011
  • Last Update Date: 05/04/2011

Medical Identifiers

Medical identifiers for Mrs Carol W Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346532751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1400XRegistered Nurse - College Health 84-6000-545 (Colorado)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. Mrs Carol W 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 AddressPractice Location Address
Mrs Carol W Clark, RN, BSN
600 South Drive,
Fort Colloins, CO 80523

Ph: (970) 491-7121
Mrs Carol W Clark, RN, BSN
600 South Drive,
Fort Collins, CO 80523

Ph: (970) 491-7121

Reviews and Comments


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