Tabitha Rynn Clark, CNP is a
Nurse Practitioner - Primary Care based in Arthurdale, West Virginia. Tabitha Rynn Clark is licensed to practice in West Virginia (license number 112519) and her current practice location is
519 G Road, Arthurdale, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 864-0884.
NPI number for Tabitha Rynn Clark is 1124762695 and her current mailing address is 110 Williams St, Kingwood, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124762695.
Provider's Profile
Full Name | Tabitha Rynn Clark |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Primary Care |
---|
Location | 519 G Road, Arthurdale, West Virginia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124762695
- Provider Enumeration Date: 04/21/2022
- Last Update Date: 09/29/2022
Medical Identifiers
Medical identifiers for Tabitha Rynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124762695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 112519 (West Virginia) | 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. Tabitha Rynn 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 |
Tabitha Rynn Clark, CNP 110 Williams St, Kingwood, WV 26537-1229 Ph: () - | Tabitha Rynn Clark, CNP 519 G Road, Arthurdale, WV 26520 Ph: (304) 864-0884 |
Reviews and Comments