Adrianne Clark

Individual provider Active NPI Peer Specialist · Yerington, NV

NPI 1760147433 · NPPES record last updated Nov 7, 2021

Key facts

NPI
1760147433
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
720 S Main St Ste C
Yerington, NV 89447-2474
Phone
(775) 463-6597
Fax
(775) 463-6598
NPI assigned
Nov 7, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

720 S Main St Ste C
Yerington, NV 89447-2474

Mailing address

720 S Main St Ste C
Yerington, NV 89447-2474
Phone (775) 463-6597

Other providers in Yerington, NV

All providers in Yerington, NV · Peer Specialist in Nevada

Sources for this page

Verify at the official NPI Registry.