Stacey Clark PA

  • 1710968763 NPI Number
  • |
  • Actived: 13 years ago
  • |
According to our database, NPI number for Stacey Clark PA is 1710968763 and actived since Tuesday, November 8 2005. Stacey Clark PA is an individual provider specializes in Physician Assistant, primary practice location is 1 Elliot Way, Manchester, NH 03103. You can also contact Stacey Clark PA via telephone number is (603) 663-2830. Provider NPI information was last updated on 10/30/2008.

Recently Active NPIs

Overview of Stacey Clark PA

  • NPI number: 1003462706
  • Provider type: Individual
  • Specialty: Physician Assistant
  • Gender: Female
  • Active since: 11/08/2005
  • Last updated: 10/30/2008

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 0622
  • License State: NH

Provider Mailing Address

  • Address: 1 Elliot Way
    Merrimack Emergency Physicians
    Manchester, NH 03103
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1 Elliot Way
    Merrimack Emergency Physicians
    Manchester, NH 03103
  • Phone: 603-663-2830
  • Fax: 603-663-1849

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 0622
  • License State: NH
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 30335239
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NH
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Stacey Clark PA?
  • A: The npi number for Stacey Clark PA is 1710968763.
  • Q: What are Stacey Clark PA's specialties?
  • A: Stacey Clark PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Stacey Clark PA?
  • A: The medical license number for Stacey Clark PA is 0622 and issued in NH in USA.
  • Q: Where is Stacey Clark PA practice location?
  • A: Stacey Clark PA is practicing at 1 Elliot Way, Manchester, NH 03103.
  • Q: How to contact Stacey Clark PA?
  • A: You can contact Stacey Clark PA via 603-663-2830.