Individual provider · Type 1 NPI

Tina Marie Clark

Family Nurse Practitioner · Spokane Valley, WA

NPI number 1609748276 Active

Practice location

1212 N Pines Rd
Spokane Valley, WA 99206-4939

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XARNP.AP.70120514-NP (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1609748276

Tina Marie Clark's National Provider Identifier is 1609748276, issued on Sep 22, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Spokane Valley, WA. The record was last updated on Aug 11, 2026.