Amanda D Clark, is a
Dietitian, Registered based in Cranesville, Pennsylvania. Amanda D Clark is licensed to practice in Pennsylvania (license number DN000373) and her current practice location is
8163 Crane Rd, Cranesville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 450-5123.
NPI number for Amanda D Clark is 1447118641 and her current mailing address is 8163 Crane Rd, Cranesville, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447118641.
Healthcare Provider's Profile
| Full Name | Amanda D Clark |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 8163 Crane Rd, Cranesville, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447118641
- Provider Enumeration Date: 01/14/2026
- Last Update Date: 01/14/2026
Medical Identifiers
Medical identifiers for Amanda D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447118641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DN000373 (Pennsylvania) | 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. Amanda D 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 |
Amanda D Clark, 8163 Crane Rd, Cranesville, PA 16410-9527 Ph: (814) 450-5123 | Amanda D Clark, 8163 Crane Rd, Cranesville, PA 16410-9527 Ph: (814) 450-5123 |
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