Individual provider · Type 1 NPI

Angela L. Clarke, PN

Licensed Practical Nurse · Fort Hall, ID

NPI number 1073768669 Active

Practice location

Pima Drive
Fort Hall, ID 83203-0306

Fax (208) 238-5462

Mailing address

PO Box 306
Fort Hall, ID 83203-0306

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN 10202 (ID)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1073768669

Angela L. Clarke, PN's National Provider Identifier is 1073768669, issued on Nov 24, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Hall, ID. The record was last updated on Nov 24, 2008.