Ms Coryn B Clark, NP is a
Clinical Nurse Specialist - Adult Health based in Storrs, Connecticut. Ms Coryn B Clark is licensed to practice in Connecticut (license number 001316) and her current practice location is
234 Glenbrook Rd Unit 4011, Storrs, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 486-4700.
NPI number for Ms Coryn B Clark is 1447248760 and her current mailing address is 234 Glenbrook Rd Unit 4011, Storrs, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447248760.
Provider's Profile
Full Name | Ms Coryn B Clark |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 234 Glenbrook Rd Unit 4011, Storrs, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447248760
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 12/05/2016
Medical Identifiers
Medical identifiers for Ms Coryn B Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447248760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | 001316 (Connecticut) | 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. Ms Coryn B 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 |
Ms Coryn B Clark, NP 234 Glenbrook Rd Unit 4011, Storrs, CT 06269-4011 Ph: (860) 486-4700 | Ms Coryn B Clark, NP 234 Glenbrook Rd Unit 4011, Storrs, CT 06269-4011 Ph: (860) 486-4700 |
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