Clark, Stephanie

Clark, Stephanie is an sole proprietor health care provider with primary practice located at 1951 Bench Road Ste A, Pocatello ID 83201-2073. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Clark, Stephanie can be contacted via phone (208) 549-7385.

Contact Information

Primary practice address
1951 Bench Road Ste A Pocatello ID 83201-2073
Phone: (208) 549-7385
Fax: (208) 216-6761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-1100A Idaho
Nursing Service Providers / Registered Nurse 163W00000X N-35468 Idaho

Profile Details

NPI number 1912288572
LBN Legal business name Clark, Stephanie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2011
Last updated Sep 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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