Individual provider · Type 1 NPI

Bethany Kristin Clark, FNP

Family Nurse Practitioner · Fullerton, CA

NPI number 1639953433 Active

Practice location

101 Laguna Rd Ste 200
Fullerton, CA 92835-3601

Call (714) 992-5350 Map

Fax (714) 446-5539

Mailing address

706 Park Shadow Ct
Baldwin Park, CA 91706-3266

Other practice locations

  • 706 Park Shadow Ct, Baldwin Park, CA 91706-3266 · (626) 589-0481

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95026372 (CA)

Family Nurse Practitioner: Definition to come...

Another provider at this address

Other family nurse practitioner providers in Fullerton

See all in Fullerton →

About NPI 1639953433

Bethany Kristin Clark, FNP's National Provider Identifier is 1639953433, issued on Aug 22, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fullerton, CA. The record was last updated on Jun 17, 2026.