STEPHANIE CLARK, NP
Nurse Practitioner
Active
Individual
NPI: 1912288572
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | NP-1100A (ID) |
| Registered Nurse | 163W00000X | No | N-35468 (ID) |
Frequently Asked Questions
NPI 1912288572 is the National Provider Identifier for STEPHANIE CLARK, NP, a Nurse Practitioner provider located in Pocatello, ID. This NPI was enumerated on September 8, 2011.
STEPHANIE CLARK, NP practices at 1951 BENCH ROAD, STE A, Pocatello, ID 83201.
Quick Facts
- NPI
- 1912288572
- Type
- Individual
- Enumerated
- Sep 8, 2011
- Last Updated
- Sep 21, 2023
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