MS. CORYN B CLARK (NPI# 1447248760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447248760 |
| Entity Type | Individual |
| Full Name | MS. CORYN B CLARK |
| Credential | NP |
| Practice Address |
234 Glenbrook Rd Unit 4011 Storrs CT 06269-4011 |
| Practice Telephone | 8604864700 |
| Practice Fax Number | 8604861765 |
| Mailing Telephone | 8604864700 |
| Mailing Fax Number | 8604861765 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
001316 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
234 GLENBROOK RD UNIT 4011 |
| City | STORRS |
| State | CT |
| Zip Code | 06269-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972964989 | University of Connecticut | Clinical Medical Laboratory | 234 Glenbrook Rd Unit 4011, Storrs, CT 06269-4011 | 2016-03-18 |
| 1548681927 | Chetan Joshi | Psychologist | 234 Glenbrook Rd Unit 4011, Storrs, CT 06269-4011 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422955 | Kathleen Martin | Specialist/Technologist | 505 Jim Calhoun Way, Storrs Mansfield, CT 06269 | 2017-12-13 |
| 1295254340 | Siobhan Ashley Gaston | Nurse Practitioner | 337 Mansfield Rd Unit 1255, Storrs, CT 06269 | 2017-09-10 |
| 1275058802 | Erika Lindsey Vuernick | Pharmacist | 69 N Eagleville Rd Unit 3092, Storrs, CT 06269 | 2017-08-04 |
| 1831722081 | Kirsty Coulter | Student in an Organized Health Care Education/Training Program | 406 Unit 1020 Babbidge Rd, Storrs, CT 06269-0001 | 2020-02-17 |
| 1275175465 | Rolando Rivera | Student in an Organized Health Care Education/Training Program | Storrs Connecticut, Storrs, CT 06269-0001 | 2019-10-09 |
| 1679050744 | Noelle Marie Delorme | Audiologist | U-1085 Bolton Road, Storrs, CT 06269-0001 | 2018-07-23 |
| 1487155248 | Andres Tomas Almeraya | Specialist/Technologist | 2110 Hillside Rd #1078r, Storrs, CT 06269-0001 | 2018-02-26 |
| 1184152795 | Hayley O'connell | Specialist/Technologist | Uconn, Storrs, CT 06269-0001 | 2017-05-25 |
| 1376691550 | Kristine Poet Ridyard | Nurse Practitioner | University of Ct Student Health Services, 234 Glenbrook Drive Unit 2011, Storrs Mansfield, CT 06269-0001 | 2007-01-06 |
| 1871524280 | Martha S Sternberg | Pediatrics | Uconn Student Health Services, 234 Glenbrook Road, Storrs Mansfield, CT 06269-0001 | 2006-07-05 |
| Find all providers in zip 06269 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891270740 | Carol F Boaz | Clinical Nurse Specialist | 30 Milestone Rd, Danbury, CT 06810-5114 | 2018-09-26 |
| 1104114545 | Lisa Anne Pottasch | Clinical Nurse Specialist | 4berkshire Boulevard, Ability Beyond Disability, Bethel, CT 06801 | 2011-07-19 |
| 1891734216 | Julie Hurley | Clinical Nurse Specialist | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2006-06-05 |
| 1851781207 | Robin Lee Richards | Clinical Nurse Specialist | 300 Seaside Ave, Milford, CT 06460-4603 | 2015-01-23 |
| 1679983746 | Eileen Campbell | Clinical Nurse Specialist | 24 Hospital Ave, Danbury, CT 06810-6099 | 2014-04-29 |
| 1942635156 | Kelly Ann Kosma | Clinical Nurse Specialist | 440 New Britain Ave, Plainville, CT 06062-2036 | 2013-09-06 |
| 1902105943 | Kathleen Rinkes | Clinical Nurse Specialist | 365 Montauk Ave, New London, CT 06320-4700 | 2011-03-16 |
| 1376700609 | Marianne Therese Cosentino | Clinical Nurse Specialist | 333 Cedar St, Fmp 3, New Haven, CT 06510-3206 | 2008-05-22 |
| 1215051859 | Sharon Barbara Drakos | Clinical Nurse Specialist | 5 S Main St, Branford, CT 06405-3800 | 2007-03-19 |
| 1972662252 | Cindi M Striebel-oberly | Clinical Nurse Specialist | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
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| 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.