Healthcare Provider Details

I. General information

NPI: 1962514893
Provider Name (Legal Business Name): MARGARET E CLARK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET E STRUTZ

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD OBGYN DEPT MS 2028
KANSAS CITY KS
66160
US

IV. Provider business mailing address

3901 RAINBOW BLVD 4070 DELP, MS 4017
KANSAS CITY KS
66160
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6200
  • Fax: 913-588-6271
Mailing address:
  • Phone: 913-588-6200
  • Fax: 913-588-6271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-36040-121
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number74165
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number44896
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: