NPI 1164306809

Marie Clark, NREMT

Practitioner Basic Emergency Medical Technician Atlanta, ID

Practice location

Address: 97 W Pine St, Atlanta, ID 83716-5032
Phone: (206) 396-7437
Mailing address: 65 W China Basin Rd, Atlanta, ID 83716-5024

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 8342-4482-1318 (ID)

Other Emergency Medical Technician, Basic providers in Idaho →

Registry record

NPI: 1164306809
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2025
Record last updated: 5 Aug 2025

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.