Yetta Hardy Clark is a Winston Salem, North Carolina based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Yetta Hardy Clark is 043294 for Anesthesia Administration in North Carolina. Her current practice location is 145 Kimel Park Dr, Suite 300, Winston Salem. Patients can reach her at 336-768-3212 or can fax her at 336-768-9019. Yetta Hardy Clark is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1013029461. Yetta Hardy Clark is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Yetta Hardy Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
145 Kimel Park Dr, Suite 300, Winston Salem, North Carolina, 27103-6984
Phone:
336-768-3212
Fax:
336-768-9019
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013029461
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Yetta Hardy Clark are as mentioned below.
License Number
Specialization
State
Status
043294
Anesthesia Administration
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Yetta Hardy Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8051731
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
145 Kimel Park Dr, Suite 300 Winston Salem, North Carolina
Zip:
27103-6984
Phone Number:
336-768-3212
Fax Number:
336-768-9019
Patients can reach Yetta Hardy Clark at 145 Kimel Park Dr, Suite 300, Winston Salem, North Carolina or can call to book an appointment on 336-768-3212.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.