Mrs Heidi Marie Clark, CRNP is a
Nurse Practitioner - Adult Health based in Palo Alot, California. Mrs Heidi Marie Clark is licensed to practice in California (license number 544649) and her current practice location is
795 El Camino Real, Palo Alot, California. She can be reached at her office (for appointments etc.) via phone at
(650) 853-2268.
NPI number for Mrs Heidi Marie Clark is 1992902282 and her current mailing address is 2350 W. El Camino Real, 2nd Floor, Mountain View, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992902282.
Provider's Profile
| Full Name | Mrs Heidi Marie Clark |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
|---|
| Location | 795 El Camino Real, Palo Alot, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992902282
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 01/09/2017
Medical Identifiers
Medical identifiers for Mrs Heidi Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992902282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 544649 (California) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 544649 (California) | Secondary |
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 Heidi Marie 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 |
|---|
Mrs Heidi Marie Clark, CRNP
2350 W. El Camino Real, 2nd Floor,
Mountain View, CA 94040-6203
Ph: () - | Mrs Heidi Marie Clark, CRNP
795 El Camino Real,
Palo Alot, CA 94301-2203
Ph: (650) 853-2268 |
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