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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE CLARK, NP

Active Sole Proprietor

STEPHANIE CLARK, NP is a Nurse Practitioner healthcare provider located in POCATELLO, Idaho. NPI 1912288572 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · POCATELLO, ID

Registration Details

NPI Number
1912288572
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2011 (14.897344970251 yrs)
Last Updated
Sep 21, 2023
Licenses
NP-1100A (ID)
N-35468 (ID)
Sole Proprietor
Yes

Practice Information

Address
1951 BENCH ROAD
STE A
POCATELLO, ID, 832012073
Browse ID providers · Browse ZIP 83201
Phone
2085497385
Fax
2082166761
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Registered Nurse

Other Nurse Practitioner Providers in POCATELLO, ID

Name Credential NPI
CYNTHIA MARIE RICE RNCNP 1427041763
HANNA PERCY DNP, FNP-C 1225687759
RONDA EDGLEY NP 1902456262
MS. AMIE BETH KENYEN NP-C 1114569282
SHEENA BLOCKER FNP-C 1659953917
CHASITY LYNN SNOWDEN FNP 1942161385
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.