Mrs Carolyn Teresa Clark, RN BSN - Registered Nurse in Wilkes Barre, PA

Mrs Carolyn Teresa Clark, RN BSN is a Registered Nurse based in Wilkes Barre, Pennsylvania. Mrs Carolyn Teresa Clark is licensed to practice in Pennsylvania (license number RN308661L) and her current practice location is 1155 E Mountain Blvd, Wilkes Barre, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (570) 808-7920.

NPI number for Mrs Carolyn Teresa Clark is 1003434069 and her current mailing address is 1155 E Mountain Blvd, Wilkes Barre, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003434069.

Contact Information

Mrs Carolyn Teresa Clark, RN BSN
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906
(570) 808-7920
(570) 808-6006



Provider's Profile

Full NameMrs Carolyn Teresa Clark
GenderFemale
SpecialityRegistered Nurse
Location1155 E Mountain Blvd, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003434069
  • Provider Enumeration Date: 07/07/2020
  • Last Update Date: 07/07/2020

Medical Identifiers

Medical identifiers for Mrs Carolyn Teresa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003434069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN308661L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carolyn Teresa Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Carolyn Teresa Clark, RN BSN
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906

Ph: (570) 808-7920
Mrs Carolyn Teresa Clark, RN BSN
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906

Ph: (570) 808-7920

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Registered Nurse Nurses in Wilkes Barre, PA

Deborah Ann Lafratte, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 53 Gravel St, Wilkes Barre, PA 18705
Phone: 570-789-0845    Fax: 570-371-5604
Mr. Carmen Attanasio Iv, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 25 Church St, Wilkes Barre, PA 18702
Phone: 570-808-2514    
Bonnie Lorenzetti, CRNP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 570-808-7916    Fax: 570-808-6006
Debra L Merrick, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15 Public Sq, Suite 600, Wilkes Barre, PA 18701
Phone: 570-826-1777    
Mrs. Wendy Bealla,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 570-808-7916    Fax: 570-808-6006
Breyana Gibson, CRNA
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7850    Fax: 570-808-7855

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