MS. BONNIE B CLARK


Address: 1380 E Medical Center Dr, Suite 1500, St George, UT 84790-2123
Phone: 4352512500

MS. BONNIE B CLARK (NPI# 1154355204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154355204
Entity Type Individual
Full Name MS. BONNIE B CLARK
Credential NP-C
Practice Address 1380 E Medical Center Dr
Suite 1500
St George
UT 84790-2123
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 4352512500
Practice Fax Number 4352512525
Mailing Telephone 4352512500
Mailing Fax Number 4352512525
Enumeration Date 2006-07-11
Last Update Date 2008-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 1965614405 UT Physician Assistants & Advanced Practice Nursing Providers

Other Providers BONNIE CLARK

NPI Name Taxonomy Address Enumeration
1104173822 Bonnie J Clark Licensed Practical Nurse 47 Caton Rd, Corning, NY 14830-3741 2012-08-13
1306134341 Bonnie Kathleen Clark Physical Therapist 197 E Broadway St, Danville, IN 46122-1803 2011-07-12
1063563310 Bonnie L Clark Nurse Practitioner 5 Silver Rdg, Veazie, ME 04401-7086 2007-01-15
1710074570 Bonnie Lou Clark Nurse Practitioner 200 East Main Avenue, Suite 202, Bismarck, ND 58501 2006-10-05
1063989960 Bonnie Clark Counselor 20370 Poe Sholes Dr, Bend, OR 97703-7938 2018-10-29
1831472133 Bonnie Lou Clark Nurse Practitioner 1319 Duncan Ave, Jeffersonville, IN 47130-3759 2011-09-22
1306124540 Bonnie Clark Pharmacist 3200 Vine St, Cincinnati, OH 45220-2213 2011-07-21
1770700130 Bonnie Clark Social Worker 280 Princeton Avenue Ext, Corning, NY 14830-1524 2007-04-19
1376672428 Bonnie Clark Licensed Psychiatric Technician 1680 Walden Ave, Cheektowaga, NY 14225-4914 2007-03-05
1508899170 Bonnie Clark Physician Assistant 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2006-07-08

Office Location

Street Address 1380 E MEDICAL CENTER DR
SUITE 1500
City ST GEORGE
State UT
Zip Code 84790-2123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144216292 Holly A Gore Registered Nurse 1380 E Medical Center Dr, St George, UT 84790-2123 2005-09-23
1659971109 Fran Vakalahi Pharmacist 1380 E Medical Center Dr, St George, UT 84790-2123 2020-10-26
1396352001 Conni Elms Registered Nurse 1380 E Medical Center Dr, St George, UT 84790-2123 2020-09-26
1659996304 Ian Andrus Pharmacist 1380 E Medical Center Dr, St George, UT 84790-2123 2020-06-09
1588287320 Paul Siddoway Cochran Nurse Practitioner 1380 E Medical Center Dr, St George, UT 84790-2123 2020-05-27
1083235618 Don Benjamin Wilson Pharmacist 1380 E Medical Center Dr, St George, UT 84790-2123 2020-05-05
1427680651 Kimberly Hull Dietitian, Registered 1380 E Medical Center Dr, St George, UT 84790-2123 2020-02-05
1255971198 Pathology Services Inc Pathology 1380 E Medical Center Dr, St George, UT 84790-2123 2020-01-08
1356988604 Gregory Seth Orton Registered Nurse 1380 E Medical Center Dr, St George, UT 84790-2123 2019-12-05
1326683897 Amelia E Ence Occupational Therapist 1380 E Medical Center Dr, St George, UT 84790-2123 2019-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396342713 Katrina Poulsen Student in an Organized Health Care Education/Training Program 617 East Rriverside Dr, Ste 301, St. George, UT 84790 2020-10-08
1124643226 Desert View Eyecare Optometrist 15 South River Road St. 150, St. George, UT 84790 2020-06-15
1366066417 Benjamin Todd Lloyd Dentist 1683 E. Wolf Hole Dr, St. George, UT 84790 2020-06-04
1801434584 Jennifer M Putnam Marriage & Family Therapist 321 North Mall Drive, Vw103, St. George, UT 84790 2019-12-12
1326683012 Red Mountain Counseling and Education Counselor 321 No Mall Dr, Vw 103, St. George, UT 84790 2019-11-17
1295376002 Karynne Kimberly Simpson Behavior Technician 280 N 1680 E U1, St. George, UT 84790 2019-10-02
1962053017 Mikala Larsen Nurse Practitioner 1380 S Medical Center Dr., Saint George, UT 84790 2019-09-20
1326690678 Joe Ballent Student in an Organized Health Care Education/Training Program 1526 S Medical Center Dr Ste 224a, St George, UT 84790 2019-07-16
1558923854 David Pace Optometrist 749 South River Rd, St. George, UT 84790 2019-07-08
1639734924 Mariah Ann Mertlich Behavioral Analyst 280 N 1680 E, U1, St. George, UT 84790 2019-05-02
Find all providers in zip 84790

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801393236 William C Caplin Nurse Practitioner 1449 N 1400 W Ste 19, St George, UT 84770-5237 2018-04-11
1194266148 Shanna Foote Nurse Practitioner 3197 S 2950 E, St George, UT 84790-5134 2017-03-10
1518418623 Erica Nichole Olson Nurse Practitioner 1380 E Medical Center Dr Ste 2200, St George, UT 84790-2130 2016-10-24
1578504502 Cynthia Mcalhany Mcclure Nurse Practitioner 109 Dukes St, St George, SC 29477 2006-06-09
1710937826 Kristine R Carter Nurse Practitioner 1739 West Sunset Blvd, St George, UT 84770-1885 2006-05-11
1861488900 Jana M Leany Nurse Practitioner 1380 E Medical Center Drive, St George, UT 84790 2005-09-23
1013916915 Brookanne J Mickelson Nurse Practitioner 652 S Medical Center Dr, Ste 110, St George, UT 84790-7049 2005-07-21
1982202446 Alana Jeanne Bradbury Nurse Practitioner 736 S 900 E Ste 203, St George, UT 84790-7003 2020-10-15
1639704471 Marissa Larson Hughes Nurse Practitioner 1380 E Medical Center Dr Ste 4100, St George, UT 84790-2156 2020-03-11
1629619531 Lisa Kogan Nurse Practitioner 720 S River Rd Ste C240, St George, UT 84790-2103 2019-10-02
Find all providers in ST GEORGE

Competitor

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City ST GEORGE
Zip Code 84790

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Dataset Information

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.

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