MS. Mary R Clark, FNP, CNM
MS. Mary R Clark, FNP, CNM is a Nurse Practitioner in Point Reyes, California. Graduated from University of California, San Francisco School of Medicine in 1995, 31 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 31
- Trained at
- University of California, San Francisco School of Medicine
- Licensed in
- CA
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
3 Sixth StPoint Reyes, CA 94956-0910
Phone: (415) 663-8666
Fax: (415) 663-9532
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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 8074 (CA) |
|---|---|
| Midwife | Taxonomy 176B00000X · Licence 1140 (CA) |
Record details
| NPI number | 1598918690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP , CNM |
| Sole proprietor | No |
| NPI enumerated | November 3, 2008 |
| Last updated in NPPES | November 3, 2008 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduated | 1995 (31 years in practice) |
| Group practice | La Clinica De La Raza Inc — 131 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |