Individual
ANGELA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
5255 MEMBERS PKWY NW, ROCHESTER, MN 55901-8381
(507) 218-3701
(507) 258-5503
Mailing address
5255 MEMBERS PKWY NW, ROCHESTER, MN 55901-8381
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6229
MN
Other
Enumeration date
10/09/2018
Last updated
10/08/2019
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