Clark, Mary R

Clark, Mary R is an individual health care provider with primary practice located at 3 Sixth Street , Point Reyes CA 94956-0910. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clark, Mary R can be contacted via phone (415) 663-8666.

Contact Information

Primary practice address
3 Sixth Street Point Reyes CA 94956-0910
Phone: (415) 663-8666
Fax: (415) 663-9532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 1140 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8074 California

Profile Details

NPI number 1598918690
LBN Legal business name Clark, Mary R
Credentials FNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Nov 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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