Most Relevant Information
Provider Data
| NPI Number: | 1003211251 |
| Provider Name: | RENEE LYNN CLARK DNP, CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: | APN.0992088 |
Most Important Dates
| Enumeration Date: | 10/30/2014 |
| Last Updated: | 10/30/2022 |
Provider Practice Location
153 CESAR CHAVEZ ST
SAINT PAUL
MN
551072226
Practice Location Phone/Fax
| Phone: | 6516027500 |
| Fax: |
Provider Mailing Location
10922 STONEBRIDGE TRL N
STILLWATER
MN
550828566
Provider Mailing Phone/Fax
| Phone: | 7206963625 |
| Fax: |