Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NICOLE LORRAINE CLARK, LAT, ATC
ActiveMS. NICOLE LORRAINE CLARK, LAT, ATC is a Athletic Trainer healthcare provider located in BOISE, Idaho. NPI 1538196563 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOISE, ID
Registration Details
- NPI Number
- 1538196563
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2006 (20.091336067764 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT-208 (ID)
Practice Information
- Address
-
1010 W WASHINGTON STBOISE, ID, 837025446Browse ID providers · Browse ZIP 83702
- Phone
- 2088544270
- Fax
- 2088544271
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DAVE LYNN HAMMONS I | ATC | 1285607598 |
| MR. ERIC ANTHONY TAYLOR | ATC | 1013979046 |
| ASHLEE NOEL HARLOW | ATC | 1619912458 |
| JAMES FLOYD SPOONER | ATC | 1033154802 |
| JESSE GEORGE COPS | ATC, LAT | 1770528333 |
| GREGORY D MITCHELL | M.A, L.A.T., A.T.C. | 1871520585 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.