Individual provider · Type 1 NPI

Mary Susan Clipp, CPNP-AC

Critical Care Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1003150194 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Call (612) 365-3100 Map

Fax (612) 365-3110

Mailing address

3333 Harriet Ave
Minneapolis, MN 55408-3729

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X2036438 (MN)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003150194

Mary Susan Clipp, CPNP-AC's National Provider Identifier is 1003150194, issued on Nov 15, 2012. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 15, 2012.