Individual provider · Type 1 NPI

Katheryn Elisabeth Clark, CNM

Advanced Practice Midwife · Grand Rapids, MI

NPI number 1417489931 Active

Practice location

100 Michigan St NE # MC027
Grand Rapids, MI 49503-2560

Fax (616) 391-2310

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Other practice locations

  • 330 Barclay Ave NE Ste 304, Grand Rapids, MI 49503-2527 · (616) 391-2160

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife Primary 367A00000X4704328067 (MI)

Advanced Practice Midwife: Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives p…

15 other providers at this address

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About NPI 1417489931

Katheryn Elisabeth Clark, CNM's National Provider Identifier is 1417489931, issued on Apr 3, 2017. The primary taxonomy on file is Advanced Practice Midwife (367A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 8, 2026.