Individual provider · Type 1 NPI

Paula Fae Clark, FNP

Nurse Practitioner · Greeley, CO

NPI number 1366867400 Active

Practice location

1555 N 17th Ave
Greeley, CO 80631-9117

Fax (970) 304-6416

Mailing address

2930 11th Ave
Evans, CO 80620-1011

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X76276 (KS)
Nurse Practitioner Primary 363L00000X991016 (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366867400

Paula Fae Clark, FNP's National Provider Identifier is 1366867400, issued on Feb 26, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greeley, CO. The record was last updated on Nov 16, 2016.