Deirdre M. Clark, NP
Nurse Practitioner · Willimantic, CT
UnclaimedNPNPI 1811251713
- Primary taxonomy
- 363LA2200X
- Enumerated
- 2012-06-26
- Practice location
- Willimantic, CT
- Last NPPES update
- 2023-04-25
State licenses
- CT · Nurse practitioner · Advanced Practice Registered NurseActivethrough 2027
- CT · Registered nurse · Registered Nurse - TemporaryInactivethrough 2012
- CT · Registered nurse · Registered Nurse - TemporaryInactivethrough 2018
- CT · Registered nurse · Registered NurseActivethrough 2027
- RI · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.