Provider Demographics
NPI:1265008403
Name:NARED, CLINT LEMARR III (PA-C)
Entity Type:Individual
Prefix:
First Name:CLINT
Middle Name:LEMARR
Last Name:NARED
Suffix:III
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NORDEN PL
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06855-1400
Mailing Address - Country:US
Mailing Address - Phone:203-451-7041
Mailing Address - Fax:
Practice Address - Street 1:8 NORDEN PL
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06855-1400
Practice Address - Country:US
Practice Address - Phone:203-451-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant