IndividualActive
Mary Ann Clark, CRNP
NPI 1629006010 · Family Nurse Practitioner · York, PA
Provider details
- NPI number
- 1629006010
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP008753 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Pine Grove Commons
York, PA 17403-5176
Phone: (717) 851-5736
Fax: (717) 851-6162
Street-level locationGet directions
Mailing address
1803 Mount Rose Ave
York, PA 17403-3026
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2016-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.