Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DYLAN ROSS CLARK, STUDENT
Active Sole ProprietorMR. DYLAN ROSS CLARK, STUDENT is a Certified Nurse Anesthetist (CRNA) healthcare provider located in BOSTON, Massachusetts. NPI 1104530930 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · BOSTON, MA
Registration Details
- NPI Number
- 1104530930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2023 (3.5625301370794 yrs)
- Last Updated
- Jan 30, 2026
- Licenses
-
RN2287470 (MA)RN2287470 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 BOSTON MEDICAL CENTER PLACEBOSTON, MA, 02118Browse MA providers · Browse ZIP 02118
- Phone
- 6176386950
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT JOSEPH BARBOZA | CRNA | 1568463495 |
| DR. WILLIAM PAUL FEHDER | CRNA | 1962491365 |
| KIMBERLY BOWENS | CRNA | 1467436535 |
| THEODORE J POLYS | CRNA | 1851379622 |
| MRS. SUSAN SOULE-HINDS | CRNA | 1992783773 |
| EILEEN LYONS | CRNA | 1104897297 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.