NPI 1689765935 · live from the CMS NPI Registry
Alisa L. Clark, APN
Nurse Practitioner in Wilmington, DE. National Provider Identifier 1689765935, active.
NPI record
| NPI | 1689765935 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | A.I. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 |
| Practice phone | 302-651-4000 |
| Mailing address | Po Box 191, Provider Enrollment Dept, Rockland, DE 19732 |
| Enumerated | September 28, 2006 |
| Last updated | August 9, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | L10024969 (DE) |
| Nurse Practitioner | 363L00000X | 030126 (PA) |
| Nurse Practitioner, Pediatrics | 363LP0200X | RN308838L (PA) |
| Nurse Practitioner primary | 363L00000X | L10024969 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.