Individual provider · Type 1 NPI

Brenda M. Clark, FNP

Nurse Practitioner · Scottsdale, AZ

NPI number 1508379504 Active

Practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN166497 (AZ)
Family Nurse Practitioner 363LF0000XAP10601 (AZ)
Nurse Practitioner Primary 363L00000XAP10601 (AZ)

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 1508379504

Brenda M. Clark, FNP's National Provider Identifier is 1508379504, issued on Nov 13, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Scottsdale, AZ. The record was last updated on Nov 3, 2025.