Individual provider · Type 1 NPI

Karen Marie Clark, N.P.

Nurse Practitioner · Santa Rosa, CA

NPI number 1508049594 Active

Practice location

1140 Sonoma Ave, 2A
Santa Rosa, CA 95405-4817

Call (707) 526-5034 Map

Fax (707) 545-3984

Mailing address

3883 Airway Dr, Suite 300
Santa Rosa, CA 95403-1670

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X16742 (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 1508049594

Karen Marie Clark, N.P.'s National Provider Identifier is 1508049594, issued on Dec 12, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 12, 2007.