Diane A. Clark, CD

Registered Dietitian · Beloit, WI

Individual Active NPI

NPI number 1568055812

Practice location

Beloit Clinic
1905 E. Huebbe Parkway
Beloit, WI 53511-1842
Phone
(608) 364-2293
Fax
(608) 364-5452

Open in Google Maps

NPI record

NPI
1568055812
Entity type
Individual (Type 1)
Enumeration date
February 18, 2021
Last updated
February 18, 2021
Certified
January 28, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 2104-29 WI

About Diane Clark

Diane A. Clark, CD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842. The NPI number 1568055812 was assigned on February 18, 2021 and the record was last updated on February 18, 2021.

Diane Clark lists a license in the registry: #2104-29 (WI) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Diane A. Clark, CD?

The NPI number is 1568055812.

What is the phone number of Diane Clark?

The phone number listed for the practice location is (608) 364-2293.

Where is Diane Clark located?

Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842.

What is the taxonomy code for Diane Clark?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Registered Dietitian providers in Beloit

All Registered Dietitian providers in Beloit, WI →