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Search › Idaho › 363L00000X

Stephanie Clark, NP

NPI 1912288572 · on the registry since 2011 · sole proprietor

Practice

Address
1951 Bench Road
Ste A
Pocatello, ID 83201
Phone
(208) 549-7385
Fax
(208) 216-6761
Organisation at this address
Dna With Tina Llc
Lily Pad Wellness, Llc
North Light Eyecare Pllc
Gate City Physical Therapy
Family Practice Group, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163W00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho