Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRYSTA ELLEN CLARK
Active Sole ProprietorKRYSTA ELLEN CLARK is a Diabetes Educator Nurse healthcare provider located in POLAND, Maine. NPI 1487447736 is currently active in the NPPES registry. Verify at CMS.
Diabetes Educator Nurse · POLAND, ME
Registration Details
- NPI Number
- 1487447736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2025 (1.244583159295 yrs)
- Last Updated
- May 28, 2025
- License
-
RN74374 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
364 MAINE STPOLAND, ME, 042745109Browse ME providers · Browse ZIP 04274
- Phone
- 2073128987
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
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.