MARY THERESA MCGUIRE CLARK (NPI# 1265836928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265836928 |
| Entity Type | Individual |
| Full Name | MARY THERESA MCGUIRE CLARK |
| Credential | CNP |
| Practice Address |
150 Emerson Ave E West Saint Paul MN 55118-2535 |
| Mailing Address |
5439 Upper 147th St W Apple Valley MN 55124-6665 |
| Practice Telephone | 6512411800 |
| Mailing Telephone | 6127308117 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1014276 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958252 | Mary Beth Clark | Speech-Language Pathologist | 18 La Salle Ave, Sioux City, IA 51104-2412 | 2020-06-25 |
| 1205461266 | Mary Clark | Nurse's Aide | 229 Elmhurst Rd, Dayton, OH 45417-1420 | 2020-03-10 |
| 1366981839 | Mary Clark | Acupuncturist | 8380 Six Forks Rd Ste 203, Raleigh, NC 27615-5091 | 2017-02-16 |
| 1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
| 1982022562 | Mary Clark | Non-emergency Medical Transport (VAN) | 2957 Brogdon Rd, Alcolu, SC 29001-8637 | 2014-04-01 |
| 1760825392 | Mary Elizabeth Clark | Doula | 8634 Oakside Ave, Commerce Township, MI 48382-3763 | 2013-04-13 |
| 1336497460 | Mary Clark | Chiropractor | 298 Federal Hill Rd, Milford, NH 03055-3553 | 2012-08-21 |
| 1730460098 | Mary Jo Clark | Specialist | 2691 Highway 62 412, Highland, AR 72542-9479 | 2011-08-31 |
| 1649559410 | Mary Jackson Clark | Counselor | 904 Washington Rd Ste A, Westminster, MD 21157-5838 | 2011-08-11 |
| 1952691461 | Mary Denise Clark | Doula | 1070 Milo Cir Apt B, Lafayette, CO 80026-3089 | 2011-04-18 |
| Street Address |
150 EMERSON AVE E |
| City | WEST SAINT PAUL |
| State | MN |
| Zip Code | 55118-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891053112 | Elizabeth Gilbertson | Family Medicine | 150 Emerson Ave E, West Saint Paul, MN 55118 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764428 | Able Solutions LLC | Day Training, Developmentally Disabled Services | 260 E Wentworth Ave Suite 112, St Paul, MN 55118 | 2019-08-03 |
| 1861059974 | Tanya F Langford | Massage Therapist | 3627 Cedar Ave No., 1166 S Robert St. St. Paul West, St. Paul, MN 55118 | 2019-05-23 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1538643424 | Marcus James Rohrbauck | Social Worker | 1312-1314 Livingston Avenue, West St. Paul, MN 55118 | 2018-09-18 |
| 1609394287 | Eric Graham Dorr | Pharmacist | 149 Thompson Ave East, Suite 150, West Saint Paul, MN 55118 | 2017-09-05 |
| 1518485242 | Meaghan Claire Puckett | Marriage & Family Therapist | 33 Wentworth Ave E Ste 210, West St Paul, MN 55118 | 2017-09-01 |
| 1174078307 | Michal Frank | Counselor | 240 Dakota St, West Saint Paul, MN 55118 | 2016-08-17 |
| 1184011868 | Rachel Devries | Pediatrics | 1880 Livingston Ave Ste 102, West St Paul, MN 55118 | 2015-04-21 |
| 1124411772 | Ahmed Salad Associates | Dentist | 1200 S Robert St, Suite C, St Paul, MN 55118 | 2015-03-06 |
| 1225458458 | Shellea J Altman | Dentist | 576 High Ridge Circle, Mendota Heights, MN 55118 | 2014-04-28 |
| Find all providers in zip 55118 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598220923 | Christina Marie Losasso | Nurse Practitioner | 234 Wentworth Ave E, West Saint Paul, MN 55118-3525 | 2019-02-11 |
| 1699104711 | Nathan Andrew Milender | Nurse Practitioner | 1750 Robert St S, West Saint Paul, MN 55118-3919 | 2013-11-08 |
| 1205260122 | Amy Elizabeth Shea | Nurse Practitioner | 1471 Robert St S, West Saint Paul, MN 55118-3141 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST SAINT PAUL |
| Zip Code | 55118 |
Please comment or provide details below to improve the information on MARY THERESA MCGUIRE CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.