Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krysta Ellen Clark

Individual provider Diabetes Educator Registered Nurse · NPI 1487447736

Krysta Ellen Clark is a Diabetes Educator Registered Nurse in Poland, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2025

Practice location Address checks out

364 Maine St
Poland, ME 04274-5109
Phone: (207) 312-8987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diabetes Educator Registered Nurse (primary) Taxonomy 163WD0400X · Licence RN74374 (ME)

Record details

NPI number1487447736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address364 Maine St, Poland, ME 04274-5109