Individual provider · Type 1 NPI

Caitlin Randi Clark, FNP

Family Nurse Practitioner · Midvale, UT

NPI number 1376421883 Active

Practice location

623 E Fort Union Blvd Ste 105
Midvale, UT 84047-5529

Mailing address

1711 Grant Ave
Ogden, UT 84404-5730

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X12591240-8900 (UT)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1376421883

Caitlin Randi Clark, FNP's National Provider Identifier is 1376421883, issued on Aug 22, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Midvale, UT. The record was last updated on Sep 24, 2025.