Individual provider · Type 1 NPI
Kelsie Clark, FNP
Family Nurse Practitioner · Rancho Mirage, CA
NPI number
1669153987
Active
Practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Fax (760) 773-1448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95025383 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669153987
Kelsie Clark, FNP's National Provider Identifier is 1669153987, issued on Jul 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Apr 21, 2025.