NPI 1073768669
Angela L Clarke, PN
Practice location
- Address
- Pima Drive, Fort Hall, ID 83203-0306
- Phone
- (208) 238-2400
- Fax
- (208) 238-5462
- Mailing address
- PO Box 306, Fort Hall, ID 83203-0306
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1073768669
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Nov 2008
- Record last updated
- 24 Nov 2008
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.