Individual provider · Type 1 NPI

Maribeth Collard Clark, CRNP

Nurse Practitioner · Mobile, AL

NPI number 1730577016 Active

Practice location

6801 Airport Blvd, Hospitalist Dept.
Mobile, AL 36608-3709

Fax (251) 631-3581

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAPRN11036078 (FL)
Acute Care Nurse Practitioner 363LA2100X1-098071 (AL)
Nurse Practitioner Primary 363L00000XAPRN11036078 (FL)

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 1730577016

Maribeth Collard Clark, CRNP's National Provider Identifier is 1730577016, issued on Jan 8, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mobile, AL. The record was last updated on Feb 13, 2025.