Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maureen Elizabeth Clark, FNP-C

Individual provider Family Nurse Practitioner · NPI 1598579625

Maureen Elizabeth Clark, FNP-C is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Practices with Age Management of West Michigan PC, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Phone: (616) 808-2695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704286120 (MI)

Record details

NPI number1598579625
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 7, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Age Management Of West Michigan Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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