NPI 1033964796

Sarah Clark

Practitioner Peer Specialist Ammon, ID

Practice location

Address: 2705 E 17th St, Ammon, ID 83406-6669
Phone: (208) 346-7500
Fax: (307) 333-0470
Mailing address: 1621 E 49th S APT 2107, Idaho Falls, ID 83404-7897

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 163 (ID)

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Registry record

NPI: 1033964796
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2024
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.