Individual
SARAH LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4050 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2714
(952) 402-9039
Mailing address
4050 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2714
(952) 402-9039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95014762
CA
363LF0000X
Family Nurse Practitioner
Primary
9669
MN
Other
Enumeration date
08/05/2020
Last updated
03/25/2024
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