Individual provider · Type 1 NPI

Sydney Christine Clark, APRN

Family Nurse Practitioner · Boise, ID

NPI number 1134913619 Active

Practice location

305 E Jefferson St
Boise, ID 83712-6231

Fax (208) 381-2336

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4571255 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1134913619

Sydney Christine Clark, APRN's National Provider Identifier is 1134913619, issued on Apr 8, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Jun 9, 2025.