MRS. CAROLYN TERESA CLARK RN BSN
NPI 1003434069
Registered Nurse in Wilkes Barre, PA

Q: What is Carolyn Clark's NPI number?

The NPI number for Carolyn Clark is 1003434069. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Q: What is Carolyn Clark's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Clark was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2020

1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702(570) 808-7920(570) 808-6006 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Carolyn Teresa Clark Rn Bsn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAROLYN TERESA CLARK RN BSN (NPI 1003434069) is an individual registered nurse in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (RN308661L) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1003434069

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMRS. CAROLYN TERESA CLARKCredential: RN BSN

Location Address1155 E MOUNTAIN BLVDWilkes Barre, PA 18702-7906

Mailing Address1155 E Mountain BlvdWilkes Barre, PA 18702-7906 · (570) 808-7920 · Fax (570) 808-6006

Phone(570) 808-7920

Fax(570) 808-6006

Sole ProprietorNo

Enumeration DateJuly 7, 2020

NPPES CertifiedJuly 7, 2020

✔ NPI 1003434069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in PA · RN308661L

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1155 E MOUNTAIN BLVD, Wilkes Barre, PA 18702

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE LORENZETTI CRNP

Nurse Practitioner (Family)