Whalio Doctors

NPI 1003150194

Mary Susan Clipp, CPNPAC

Practitioner Critical Care Pediatric Nurse Practitioner Minneapolis, MN

Practice location

Address
2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone
(612) 365-3100
Fax
(612) 365-3110
Mailing address
3333 Harriet Ave, Minneapolis, MN 55408-3729

Registered specialties

Critical Care Pediatric Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0222X Licence 2036438 (MN)

Registry record

NPI
1003150194
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Nov 2012
Record last updated
15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.