Individual provider · Type 1 NPI

Isabella Dawn Clark, BSN, RN

Registered Nurse · Leavenworth, KS

NPI number 1174438345 Active

Practice location

4101 S 4th St
Leavenworth, KS 66048-5014

Mailing address

1839 Gates Dr W
Platte City, MO 64079-7508

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2023003156 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174438345

Isabella Dawn Clark, BSN, RN's National Provider Identifier is 1174438345, issued on Aug 14, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Leavenworth, KS. The record was last updated on Aug 14, 2026.