DR. MOLLY MARIE CLARK (NPI# 1700358439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700358439 |
| Entity Type | Individual |
| Full Name | DR. MOLLY MARIE CLARK |
| Credential | DNP, FNP-C |
| Practice Address |
13409 E 14 Mile Rd Sterling Heights MI 48312-6304 |
| Practice Telephone | 5869773900 |
| Practice Fax Number | 5869776084 |
| Mailing Telephone | 5869773900 |
| Mailing Fax Number | 5869776084 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704290182 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295222487 | Molly Regina Marie Clark | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se # 284, Minneapolis, MN 55455-0341 | 2018-04-13 |
| 1134496425 | Molly Clark | Physical Therapist | 2214 Gemini St, Houston, TX 77058-2049 | 2011-11-30 |
| 1598262974 | Molly Ann Clark | Audiologist | 560 W Mitchell St Ste 250, Petoskey, MI 49770-2277 | 2018-04-11 |
| 1811241706 | Molly Elizabeth Clark | Registered Nurse | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2012-10-31 |
| 1992900591 | Molly Clark | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2007-06-15 |
| 1043223324 | Molly Elizabeth Clark | Specialist | 30 Washington St, Wellesley, MA 02481-1905 | 2006-08-15 |
| 1508814666 | Molly Patricia Clark | Dietitian, Registered | 2500 Merced Street, San Leandro, CA 94577-4201 | 2006-05-04 |
| Street Address |
13409 E 14 MILE RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48312-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682408 | Toni Marie Esposito | Physician Assistant | 13409 E 14 Mile Rd, Sterling Heights, MI 48312-6304 | 2018-09-11 |
| 1053788570 | Rebecca Myers | Massage Therapist | 13409 E 14 Mile Rd, Sterling Heights, MI 48312-6304 | 2015-09-01 |
| 1447633748 | Sterling Medical Center Pllc | Clinic/Center | 13409 E 14 Mile Rd, Sterling Heights, MI 48312-6304 | 2015-07-06 |
| 1558752402 | Sterling Medical Center Pllc | General Practice | 13409 E 14 Mile Rd, Sterling Heights, MI 48312-6304 | 2015-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701287 | Erin Krugel | Physical Therapist | 33464 Schoenherr Rd Ste 100, Sterling Heights, MI 48312 | 2018-05-23 |
| 1124556691 | Roman Novatchinski | Licensed Practical Nurse | 13654 Brougham, Sterling Heights, MI 48312 | 2017-05-30 |
| 1679010763 | Lake City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 33389 Van Dyke Ave, Sterling Heights, MI 48312 | 2017-01-26 |
| 1598113912 | Joseph Donald Evens | Occupational Therapist | 11635 Filer Drive, Sterling Heights, MI 48312 | 2016-05-26 |
| 1942656855 | Damini Desai | Technician, Other | 38157 Corbett Dr, Sterling Heights, MI 48312 | 2016-05-10 |
| 1891151593 | Your Healing Hands Massage Therapy, LLC | Massage Therapist | 6029 E 14 Mile Rd Ste 200, Sterling Heights, MI 48312 | 2016-01-11 |
| 1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
| 1467705871 | Julie Anne Hepke | Social Worker | 13213 E. 14 Mile Road, Sterling Heights, MI 48312 | 2012-10-23 |
| 1619226354 | Kimberly Marie Dorband | Physical Therapy Assistant | 6041 15 Mile Road, Sterling Heights, MI 48312 | 2012-09-07 |
| 1477810026 | Frances Sherryl Salvadora Ramos | Physical Therapist | 8170 Crestview Dr Apt 6, Sterling Heights, MI 48312 | 2012-04-20 |
| Find all providers in zip 48312 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818687 | Christine Mae Boylan | Nurse Practitioner | 11181 Plumridge Blvd, Sterling Heights, MI 48313-4954 | 2020-07-20 |
| 1588296842 | Katherine Elizabeth King | Nurse Practitioner | 41033 Hamilton Dr, Sterling Heights, MI 48313-3012 | 2020-02-05 |
| 1942843941 | Diana Lang | Nurse Practitioner | 3500 15 Mile Rd # Rr, Sterling Heights, MI 48310-5353 | 2019-10-22 |
| 1699233874 | Alexa Powell | Nurse Practitioner | 44344 Dequindre Rd Ste 310, Sterling Heights, MI 48314-1040 | 2019-03-07 |
| 1477017325 | Monica Grace Mccoy | Nurse Practitioner | 14526 Carmel Dr, Sterling Heights, MI 48312-4306 | 2019-01-24 |
| 1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
| 1093280919 | Amanda Box | Nurse Practitioner | 44344 Dequindre Rd Ste 460, Sterling Heights, MI 48314-1042 | 2018-10-07 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1669985792 | Dawn Michelle Black | Nurse Practitioner | 33464 Schoenherr Rd Ste 140, Sterling Heights, MI 48312-6319 | 2017-11-11 |
| 1891217873 | Mary Krikor | Nurse Practitioner | 36190 Waltham Dr, Sterling Heights, MI 48310-4831 | 2017-07-12 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48312 |
Please comment or provide details below to improve the information on DR. MOLLY MARIE 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.