Katherine Clark, CPNP - Nurse Practitioner in Palo Alto, CA

Katherine Clark, CPNP is a Nurse Practitioner - Pediatrics based in Palo Alto, California. Katherine Clark is licensed to practice in California (license number 23185) and her current practice location is 650 Clark Way, Palo Alto, California. She can be reached at her office (for appointments etc.) via phone at (650) 688-3644.

NPI number for Katherine Clark is 1841557428 and her current mailing address is 650 Clark Way, Palo Alto, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841557428.

Contact Information

Katherine Clark, CPNP
650 Clark Way,
Palo Alto, CA 94304
(650) 688-3644
(650) 688-3669

Map and Direction




Provider's Profile

Full NameKatherine Clark
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location650 Clark Way, Palo Alto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841557428
  • Provider Enumeration Date: 04/19/2012
  • Last Update Date: 10/28/2013

Medical Identifiers

Medical identifiers for Katherine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841557428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 5005585 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5005585 (North Carolina)Secondary
363LP0200XNurse Practitioner - Pediatrics 23185 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katherine Clark, CPNP
650 Clark Way,
Palo Alto, CA 94304

Ph: (650) 688-3644
Katherine Clark, CPNP
650 Clark Way,
Palo Alto, CA 94304

Ph: (650) 688-3644

Reviews and Comments


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