Individual provider · Type 1 NPI
Bonnie B. Clark, NP
Family Nurse Practitioner · St. George, UT
NPI number
1154355204
Active
Practice location
1380 E Medical Center Dr
St. George, UT 84790-2123
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 196561-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154355204
Bonnie B. Clark, NP's National Provider Identifier is 1154355204, issued on Jul 11, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. George, UT. The record was last updated on Jun 30, 2023.