IndividualActive
Mary Clipp, CPNP-AC
NPI 1003150194 · Critical Care Pediatric Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1003150194
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 2036438 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-3100
Fax: (612) 365-3110
Approximate (ZIP-level) locationGet directions
Mailing address
3333 Harriet Ave
Minneapolis, MN 55408-3729
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.