LYNN A CLARK (NPI# 1023024940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023024940 |
| Entity Type | Individual |
| Full Name | LYNN A CLARK |
| Credential | ARNP |
| Practice Address |
11511 Canterwood Blvd Nw Ste 145 Gig Harbor WA 98332-5813 |
| Practice Telephone | 2535302955 |
| Practice Fax Number | 2535302970 |
| Mailing Telephone | 2535302955 |
| Mailing Fax Number | 2535302970 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
AP30002563 | WA | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP30002563 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP30002563 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0191324 | 01 |
| WA | STATE CRIME VICTIMS | 8939483 | 01 |
| WA | STATE CRIME VICTIMS | 8939401 | 01 |
| WA | STATE L&I | 0207828 | 01 |
| WA | STATE L&I | 0191325 | 01 |
| WA | MEDICARE RAILROAD | P00354459 | 01 |
| WA | 9607680 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326213679 | Lynn Renee Clark | Skilled Nursing Facility | 301 Ridings Avenue, Molalla, OR 97038 | 2008-04-28 |
| 1346461944 | Lynn Marie Clark | Dietitian, Registered | 10500 N. Stratford Place, Mequon, WI 53092-5553 | 2007-05-01 |
| 1649313040 | Lynn W Clark | Speech-Language Pathologist | 3525 Lakewood Dr, Mount Vernon, IN 47620-8943 | 2007-02-15 |
| 1699883512 | Lynn Davis Clark | Counselor | 5505 John Eskew Blvd, Alexandria, LA 71303-3725 | 2006-08-29 |
| 1346688546 | Lynn Michelle Clark | Pharmacist | 200 N Carrier Pkwy, Suite 112, Grand Prairie, TX 75050 | 2013-06-10 |
| 1912296955 | Lynn Forsyth Clark | Registered Nurse | 1525 W Frye Rd, Chandler, AZ 85224-6178 | 2011-03-30 |
| 1033269824 | Lynn Robinson Clark | Dentist | 3310 Franklin Rd Sw, Roanoke, VA 24014-1310 | 2007-01-12 |
| 1972686855 | Lynn Marie Clark | Nurse Practitioner | 1935 Motor St, E05.505.y, Dallas, TX 75235-7701 | 2006-10-23 |
| Street Address |
11511 CANTERWOOD BLVD NW STE 145 |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306037 | Lance Lebrecht Bear | Orthopaedic Surgery | 11511 Canterwood Blvd Nw, Ste 205, Gig Harbor, WA 98332-5813 | 2005-06-16 |
| 1508343369 | Melanie Refuerzo | Occupational Therapist | 11511 Canterwood Blvd Nw, Gig Harbor, WA 98332-5813 | 2018-07-25 |
| 1275029621 | Melissa Renee Means | Registered Nurse | 11511 Canterwood Blvd Nw, Gig Harbor, WA 98332 | 2018-07-09 |
| 1104362490 | Mh Wellness & Acupuncture Studio | Acupuncturist | 11511 Canterwood Blvd Nw, Ste 40, Gig Harbor, WA 98332-5813 | 2017-01-11 |
| 1528443827 | Jamie Kathleen Mullen | Chiropractor | 11511 Canterwood Blvd Nw, Ste 210, Gig Harbor, WA 98332-5818 | 2015-07-28 |
| 1740667955 | Franciscan Health System | Genetic Counselor, MS | 11511 Canterwood Blvd Nw, Ste 45, Gig Harbor, WA 98332-5813 | 2015-04-27 |
| 1821363300 | Franciscan Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11511 Canterwood Blvd Nw, Suite 50, Gig Harbor, WA 98332-5813 | 2012-03-15 |
| 1215200977 | Franciscan Health System | Registered Nurse | 11511 Canterwood Blvd Nw, Suite 220, Gig Harbor, WA 98332-5813 | 2012-02-10 |
| 1871888933 | Franciscan Medical Group | Internal Medicine | 11511 Canterwood Blvd Nw, Ste 110, Gig Harbor, WA 98332-5813 | 2011-06-16 |
| 1801181243 | Franciscan Medical Group | Surgery | 11511 Canterwood Blvd Nw, Suite 145, Gig Harbor, WA 98332-5813 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
| 1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
| 1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
| 1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
| Find all providers in zip 98332 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972605491 | Edythe E Hudson | Nurse Practitioner | 11511 Canterwood Blvd Nw, Suite 145, Gig Harbor, WA 98332-5813 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
| 1992323018 | Megan Louise Bedker | Nurse Practitioner | 3003 80th Ave Se, Mercer Island, WA 98040-2915 | 2020-07-07 |
| 1114557196 | Scarlett Owen Duncan | Nurse Practitioner | 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 | 2020-01-18 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
| 1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
| 1770079493 | Erica Lauren Nunez | Nurse Practitioner | 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 | 2018-07-05 |
| 1659881001 | Kathryn Conkling | Nurse Practitioner | 10210 State Ave, Marysville, WA 98271-7214 | 2017-10-11 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
| City | GIG HARBOR |
| Zip Code | 98332 |
Please comment or provide details below to improve the information on LYNN A CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.