Yetta Hardy Clark
CRNA | Nurse Anesthetist
145 Kimel Park Dr, Suite 300, Winston Salem
North Carolina, 27103-6984
336-768-3212
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.