Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariam Clark, NP

Individual provider Family Nurse Practitioner · NPI 1619370194

Mariam Clark, NP is a Family Nurse Practitioner in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3612 1/2 E 1st St
Los Angeles, CA 90063-2326
Phone: (323) 264-7796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6551 Harrington Ct, Chino, CA 91710-7376 — (909) 613-9238

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95000880 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F0714462 (CA)

Record details

NPI number1619370194
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 29, 2014
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022

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