Mrs. Elise Diane Clark is a Lima, Ohio based nurse practitioner with 23 years of experience in . She completed her graduation from University Of Toledo College Of Medicine in 2001. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Elise Diane Clark is NP06689 in Ohio. Her current practice location is 2875 W Elm St, Lima. Patients can reach her at 419-991-7805 or can fax her at 419-991-7862. Mrs. Elise Diane Clark is FNP BC and her NPI number (Unique professional ID assigned by NPPES) is 1184619595. Mrs. Elise Diane Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Elise Diane Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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.
PAC ID:
0345274478
Enrollment ID:
I20050919000889
NPI Number:
1184619595
NPI Enumeration Date:
13 Sep, 2005
NPI Last Update On:
29 Mar, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Elise Diane Clark are as mentioned below.
License Number
Specialization
State
Status
NP06689
Ohio
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(360066)
Lima, OH
Acute Care Hospital
(360068)
Toledo, OH
Acute Care Hospital
(360009)
Lima, OH
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Elise Diane Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Family Physicians Of Lima Inc (7719961481)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Elise Diane Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9934001
Other
Ohio
MEDICARE PTAN
2360252
Medicaid
Ohio
500023896
Other
Ohio
TRAVELERS/RAILROAD MEDICA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Elise Diane Clark 2875 W Elm St, Lima, Ohio
Zip:
45805-2510
Phone Number:
419-991-7805
Fax Number:
419-991-7862
Patients can reach Mrs. Elise Diane Clark at 2875 W Elm St, Lima, Ohio or can call to book an appointment on 419-991-7805.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.