IndividualActive
Krysta Clark
NPI 1487447736 · Diabetes Educator Registered Nurse · Poland, ME
Provider details
- NPI number
- 1487447736
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN74374 (ME)
Specialties & taxonomies
Nursing Service Providers
Practice location
364 Maine St
Poland, ME 04274-5109
Phone: (207) 312-8987
Approximate (ZIP-level) locationGet directions
Mailing address
364 Maine St
Poland, ME 04274-5109
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.