Grace Helena Clark, is a
Student In An Organized Health Care Education/training Program based in Loveland, Colorado. Grace Helena Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
1717 Rolling View Dr, Loveland, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 685-0284.
NPI number for Grace Helena Clark is 1043105133 and her current mailing address is 1717 Rolling View Dr, Loveland, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043105133.
Provider's Profile
| Full Name | Grace Helena Clark |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1717 Rolling View Dr, Loveland, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043105133
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Grace Helena Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043105133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Grace Helena 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 |
|---|
Grace Helena Clark,
1717 Rolling View Dr,
Loveland, CO 80537-7493
Ph: (970) 685-0284 | Grace Helena Clark,
1717 Rolling View Dr,
Loveland, CO 80537-7493
Ph: (970) 685-0284 |
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