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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN 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.
Other licensed practical nurse providers in Fort Hall
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.