KATHRYN MARTENS CLARK NP
NPI 1003937855
Nurse Practitioner in Ann Arbor, MI

Active since April 02, 2007
1500 EAST MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP D, ANN ARBOR, MI 48109(734) 764-5175 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathryn Martens Clark Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN MARTENS CLARK NP (NPI 1003937855) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704113960) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1003937855
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHRYN MARTENS CLARKCredential: NP
Location Address1500 EAST MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP DAnn Arbor, MI 48109
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003937855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704113960
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1500 EAST MEDICAL CENTER DR, Ann Arbor, MI 48109

Other Identifiers 2

Medicaid4290400MI
Medicare UPINP35537MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109
Physician Assistant
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP D
ANN ARBOR, MI 48109
Emergency Medicine
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Physician Assistant
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP F
ANN ARBOR, MI 48109
Internal Medicine
1500 EAST MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP 2B355
ANN ARBOR, MI 48109
Advanced Practice Midwife
1500 EAST MEDICAL CENTER DR, UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Internal Medicine
1500 EAST MEDICAL CENTER DR, B1 FLOOR CANCER RECP B
ANN ARBOR, MI 48109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003937855, enumerated as an "individual" on April 02, 2007.

The provider is located at 1500 EAST MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP D ANN ARBOR, MI 48109 and the phone number is (734) 764-5175.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.