Search › Minnesota › 363LA2100X
Courtney Clark
NPI 1568386894 · on the registry since 2026
Practice
- Address
- 14500 34th Ave N Apt 239
Plymouth, MN 55447 - Phone
- (218) 348-1326
- Organisation at this address
- Optima Care, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota