Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHERINE ROSE CLARK, PA-C
ActiveMRS. KATHERINE ROSE CLARK, PA-C is a Physician Assistant healthcare provider located in CRYSTAL, Minnesota. NPI 1003683509 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CRYSTAL, MN
Registration Details
- NPI Number
- 1003683509
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2023 (2.6655582034587 yrs)
- Last Updated
- Mar 31, 2025
- License
-
14744 (MN)
Practice Information
- Address
-
5109 36TH AVE NCRYSTAL, MN, 55422Browse MN providers · Browse ZIP 55422
- Phone
- 7635877999
- Fax
- 7635877989
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CRYSTAL, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHERINE MCCOURT ROBINSON LARSON | PA C | 1154315133 |
| MICHELLE RENEE WARK | PAC | 1952330581 |
| TAMMY GREGERSON | P.A.-C | 1629122767 |
| HEATHER SMITH | — | 1992038236 |
| LISA LEGVOLD | PA-C | 1518357102 |
| LISA LAPOINTE | PA-C | 1376054593 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.