Organization · Type 2 NPI
Hailey A. Clark Fnp-C LLC
Health Service Clinic/Center · Idaho Falls, ID
NPI number
1689269177
Active
Practice location
814 Pancheri Dr
Idaho Falls, ID 83402-3344
Mailing address
4060 Duane St
Idaho Falls, ID 83401-1846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
Other health service clinic/center providers in Idaho Falls
About NPI 1689269177
Hailey A. Clark Fnp-C LLC's National Provider Identifier is 1689269177, issued on Mar 5, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 5, 2021.