Individual provider · Type 1 NPI

Thayer A. Clark, DNP

Family Nurse Practitioner · Thomaston, CT

NPI number 1477052157 Active

Practice location

76 Watertown Rd Ste 2F
Thomaston, CT 06787-1826

Mailing address

20 Essex Ln
Woodbury, CT 06798-2600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X7667 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1477052157

Thayer A. Clark, DNP's National Provider Identifier is 1477052157, issued on Feb 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Thomaston, CT. The record was last updated on Sep 29, 2026.