Individual provider · Type 1 NPI

Mark Lawrence Clelland, CNP

Nurse Practitioner · Coeur D Alene, ID

NPI number 1912837865 Active

Practice location

1090 W Park Pl
Coeur D Alene, ID 83814-2785

Call (208) 620-5250 Map

Fax (208) 667-2638

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X3281736 (ID)
Nurse Practitioner Primary 363L00000X3281736 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1912837865

Mark Lawrence Clelland, CNP's National Provider Identifier is 1912837865, issued on May 21, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 23, 2026.