Individual provider · Type 1 NPI

Mary Theresa McGuire Clark, CNP

Family Nurse Practitioner · West St. Paul, MN

NPI number 1265836928 Active

Practice location

150 Emerson Ave E
West St. Paul, MN 55118-2535

Mailing address

5439 Upper 147th St W
Apple Valley, MN 55124-6665

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF1014276 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1265836928

Mary Theresa McGuire Clark, CNP's National Provider Identifier is 1265836928, issued on Oct 9, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West St. Paul, MN. The record was last updated on Nov 9, 2020.