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MS. SUSAN MARIE CLARK C.R.N.P.
NPI 1326055534
Nurse Practitioner - Family in Denton, MD

Active since August 01, 2006
301 RANDOLPH ST, DENTON, MD 21629(410) 479-4306(410) 479-1714 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Marie Clark C.r.n.p. NPPES

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

MS. SUSAN MARIE CLARK C.R.N.P. (NPI 1326055534) is an individual family provider in Denton, Maryland, licensed in Maryland (R157798) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1326055534
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SUSAN MARIE CLARKCredential: C.R.N.P.
Location Address301 RANDOLPH STDenton, MD 21629-1243
Mailing Address301 Randolph StDenton, MD 21629-1243 · (410) 479-4306 · Fax (410) 479-1714
Phone(410) 479-4306
Fax(410) 479-1714
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1326055534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R157798
301 RANDOLPH ST, Denton, MD 21629
Open in Google Maps ↗

Other Identifiers 12

Other521116591MD · Tricare
Other521116591MD · Maryland Physicians Care
Medicare UPINQ77343MD
OtherT5880040MD · Cf Bc/bs Grp/ghmsi/bl Cho
Other89583301MD · Carefirst Bc/bs Rendering
Other521116591MD · Coventry
Other521116591MD · Informed
Other766408Ncppo
Other9924498Cigna
Medicare PINS135P756
Other207884Priority Partners
Medicaid784381000MD

Other Providers at the Same Location NPPES 11

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

RODSHEKIA DENISE NEWTON
Dental Hygienist
301 RANDOLPH ST
DENTON, MD 21629
Caroline County (410) 479-4306
TRUDY J DEAN RDH
Dental Hygienist
301 RANDOLPH ST
DENTON, MD 21629
Caroline County (410) 479-4306
LORRAINE HALL-PFAFF RDH
Dental Hygienist
301 RANDOLPH ST
DENTON, MD 21629
Caroline County (410) 479-4306
LAURA M KING RDH
Dental Hygienist
301 RANDOLPH ST
DENTON, MD 21629
Caroline County (410) 479-4306
CHOPTANK COMMUNITY HEALTH SYSTEM INC
Clinic/Center (Federally Qualified Health Center (FQHC))
301 RANDOLPH ST
DENTON, MD 21629
Caroline County (410) 479-4306
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
301 RANDOLPH ST
DENTON, MD 21629
Caroline County (410) 479-4306
SUE ELLEN HAGIE NP
Nurse Practitioner (Family)
301 RANDOLPH ST
DENTON, MD 21629
Caroline County (410) 479-4306
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
301 RANDOLPH ST
DENTON, MD 21629
Caroline County (410) 479-4306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Clark's NPI number?

The NPI number for Susan Clark is 1326055534. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Susan Clark located?

Susan Clark practices at 301 Randolph St, Denton, MD 21629. The listed phone number is (410) 479-4306.

What is Susan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susan Clark was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.