Individual provider · Type 1 NPI

Kathleen Marie Clark, MSN FNP C

Nurse Practitioner · Long Beach, CA

NPI number 1083774582 Active

Practice location

1250 Bellflower Blvd, Shs
Long Beach, CA 90840-0201

Call (562) 985-5146 Map

Fax (562) 985-8404

Mailing address

3247 Chatwin Ave, Shs
Long Beach, CA 90808

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X16395 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083774582

Kathleen Marie Clark, MSN FNP C's National Provider Identifier is 1083774582, issued on Dec 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Long Beach, CA. The record was last updated on Jul 8, 2007.