NPI 1487447736 · live from the CMS NPI Registry
Krysta Ellen Clark
Registered Nurse, Diabetes Educator in Poland, ME. National Provider Identifier 1487447736, active.
NPI record
| NPI | 1487447736 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 364 Maine St, Poland, ME 04274 |
| Practice phone | 207-312-8987 |
| Enumerated | May 28, 2025 |
| Last updated | May 28, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | RN74374 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.