Amy M Clark
Nurse Practitioner - Psychiatric/Mental Health
115 Mill St
Belmont
, Massachusetts 02478-1064
Amy M Clark
Nurse Practitioner - Psychiatric/Mental Health
115 Mill St
Belmont
, Massachusetts 02478-1064
(617) 855-3738
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Amy M Clark
- 115 Mill St
- Belmont, MA
- Zip : 02478-1064
- Fax : (617) 855-3738
- Phone : (617) 855-2578
Second Address
- Amy M Clark
- 115 Mill St
- Belmont, MA
- Zip : 02478-1064
- Fax : (617) 855-3738
- Phone : (617) 855-2578
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN2266004 | MA |
National Provider Identifier
| NPI | 1033527403 |
|---|---|
| Provider Name | Amy M Clark |
| First Address | Belmont, MA 02478-1064 |
| Second Address | Belmont, MA 02478-1064 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2014 |
| Last Update Date | 03/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.