Individual provider · Type 1 NPI

Samantha Jean Clark

Registered Nurse · Colville, WA

NPI number 1891150116 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Fax (509) 684-5286

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN60583779 (WA)

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 1891150116

Samantha Jean Clark's National Provider Identifier is 1891150116, issued on Dec 31, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Colville, WA. The record was last updated on Dec 31, 2015.