Individual
BRENDA M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN166497
AZ
363L00000X
Nurse Practitioner
Primary
AP10601
AZ
363LF0000X
Family Nurse Practitioner
AP10601
AZ
Other
Enumeration date
11/13/2017
Last updated
11/03/2025
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