Ms Bonnie L Clark, WHNP-BC is a
Nurse Practitioner - Women's Health based in Veazie, Maine. Ms Bonnie L Clark is licensed to practice in Maine (license number CNP81695) and her current practice location is
5 Silver Rdg, Veazie, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 942-0824.
NPI number for Ms Bonnie L Clark is 1063563310 and her current mailing address is 5 Silver Rdg, Veazie, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063563310.
Provider's Profile
| Full Name | Ms Bonnie L Clark |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Women's Health |
|---|
| Location | 5 Silver Rdg, Veazie, Maine |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063563310
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 06/26/2013
Medical Identifiers
Medical identifiers for Ms Bonnie L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063563310 | NPI | - | NPPES |
| CNP81695 | Other | ME | MAINE STATE BOARD OF NURSING |
| RN18038 | Other | ME | MAINE STATE BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LW0102X | Nurse Practitioner - Women's Health | CNP81695 (Maine) | 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. Ms Bonnie L 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 |
Ms Bonnie L Clark, WHNP-BC 5 Silver Rdg, Veazie, ME 04401-7086 Ph: (207) 942-0824 | Ms Bonnie L Clark, WHNP-BC 5 Silver Rdg, Veazie, ME 04401-7086 Ph: (207) 942-0824 |
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