Deirdre M Clark, NP
Deirdre M Clark is a Adult Health Nurse Practitioner provider (Nurse Practitioner) practicing in Willimantic, CT, registered in the NPPES registry with NPI 1811251713 since 2012. The credential NP stands for Nurse Practitioner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1811251713 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Deirdre M Clark |
| Credential | NP |
| Sex | Female |
| Practice address | 5 FOUNDERS ST STE 102, Willimantic, CT, 06226 |
| Phone | 8604562898 |
| Enumeration date | 2012-06-26 |
| Last updated in NPPES | 2023-04-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LA2200X | Adult Health Nurse Practitioner | Secondary | NPP37710 | RI |
| 363LG0600X | Gerontology Nurse Practitioner | Secondary | NPP37710 | RI |
| 363LA2200X | Adult Health Nurse Practitioner | Primary | 7460 | CT |
NP — Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential
Copy-ready billing details
Provider: Deirdre Clark, NP NPI: 1811251713 Taxonomy: 363LA2200X (Adult Health Nurse Practitioner) Address: 5 FOUNDERS ST STE 102, Willimantic, CT, 06226
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487638409 | Mark Jacobs | Individual | Cardiovascular Disease Physician | Willimantic, CT |
| 1114907029 | Regina Stuart | Individual | Surgery Physician | Willimantic, CT |
| 1548405871 | Huseyin Nail Aydin | Individual | Surgery Physician | Willimantic, CT |
| 1720569379 | Jamie Charron | Individual | Family Nurse Practitioner | Willimantic, CT |
| 1942198536 | Jennifer Misuraca | Individual | Acute Care Nurse Practitioner | Willimantic, CT |
Verify this record
Cross-check NPI 1811251713 against the authoritative CMS record: view Deirdre M Clark on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-04-25.