NPI 1013029461

Yetta Hardy Clark, CRNA

Practitioner Certified Registered Nurse Anesthetist Winston Salem, NC

Practice location

Address: 145 Kimel Park Dr Suite 300, Winston Salem, NC 27103-6984
Phone: (336) 768-3212
Fax: (336) 768-9019

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 043294 (NC)

Other Nurse Anesthetist, Certified Registered providers in North Carolina →

Registry record

NPI: 1013029461
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.