MYRA LESLIE CLARK PHD, NP-C
NPI 1629228093
Nurse Practitioner - Family in Mechanicsville, VA

Active since September 23, 2008
7048 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111(804) 730-9498(804) 569-7967 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myra Leslie Clark Phd, Np-c NPPES

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

MYRA LESLIE CLARK PHD, NP-C (NPI 1629228093) is an individual family provider in Mechanicsville, Virginia, licensed in Virginia (0024170893) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1629228093
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMYRA LESLIE CLARKCredential: PHD, NP-C
Location Address7048 MECHANICSVILLE TPKEMechanicsville, VA 23111-7101
Mailing Address2485 Ranson CtCharlottesville, VA 22911-8622 · (434) 293-0660
Fax(804) 569-7967
Sole ProprietorNo
Enumeration DateSeptember 23, 2008
Last NPPES UpdateOctober 11, 2013
NPI 1629228093 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 VA · 0024170893
7048 MECHANICSVILLE TPKE, Mechanicsville, VA 23111

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
7048 MECHANICSVILLE TPKE
MECHANICSVILLE, VA 23111
Nurse Practitioner (Family)
7048 MECHANICSVILLE TPKE
MECHANICSVILLE, VA 23111
Pharmacist
7048 MECHANICSVILLE TPKE
MECHANICSVILLE, VA 23111
Pharmacist
7048 MECHANICSVILLE TPKE
MECHANICSVILLE, VA 23111
Nurse Practitioner (Family)
7048 MECHANICSVILLE TPKE
MECHANICSVILLE, VA 23111
Pharmacist
7048 MECHANICSVILLE TPKE
MECHANICSVILLE, VA 23111
Pharmacist
7048 MECHANICSVILLE TPKE
MECHANICSVILLE, VA 23111
Nurse Practitioner (Family)
7048 MECHANICSVILLE TPKE
MECHANICSVILLE, VA 23111

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 Myra Clark's NPI number?

The NPI number for Myra Clark is 1629228093. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Myra Clark located?

Myra Clark practices at 7048 Mechanicsville Tpke, Mechanicsville, VA 23111. The listed phone number is (804) 730-9498.

What is Myra 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 Myra Clark was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.