Individual provider · Type 1 NPI
Mary K. Clark, NP
Nurse Practitioner · New York, NY
Practice location
622 W 168th St
New York, NY 10032-3720
Fax (212) 305-8980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F331137 (NY) |
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 1164577680
Mary K. Clark, NP's National Provider Identifier is 1164577680, issued on Jan 24, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.