Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edith Mary Clark, MBA, RD, CDE

Individual provider Registered Dietitian · NPI 1376632679

Edith Mary Clark, MBA, RD, CDE is a Registered Dietitian in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
RD — Registered Dietitian
A credentialed nutrition professional.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 390874

Record details

NPI number1376632679
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBA , RD , CDE
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 9, 2007

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