NPI 1023870896 · live from the CMS NPI Registry
Braylynn Diane Clark, APRN
Emergency Medicine in Glen Dale, WV. National Provider Identifier 1023870896, active.
NPI record
| NPI | 1023870896 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 800 Wheeling Ave, Glen Dale, WV 26038 |
| Practice phone | 304-845-3211 |
| Mailing address | 510 Frederick St, Follansbee, WV 26037 |
| Enumerated | January 26, 2024 |
| Last updated | January 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 1113368 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.