Erin Clark, RN
Individual provider Active NPI Registered Nurse · Mankato, MN
NPI 1770952012 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1770952012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 219704-7 (MN)
- Practice address
- 1961 Premier Dr Ste 340
Mankato, MN 56001-6839 - Phone
- (507) 345-8591
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219704-7 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adara Home Health, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 219704-7 | MN | Yes |
Addresses
Primary practice location
1961 Premier Dr Ste 340
Mankato, MN 56001-6839
Mailing address
1961 Premier Dr #340
Mankato, MN 56001
Phone (507) 345-8591
Other providers in Mankato, MN
- Alaina L Christnagel
- Adam James Christopher
- Karen Christy
- Breanna Dawn Cich
- Clarity Assessments, PLLC
- Marissa Clark
- Sarah D Clauss
- George Whitney Clements
- Virginia C Clementson
- Kristin Marie Clifford
All providers in Mankato, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.