Diane Clark, RN, BSN

NPI 1952763377 · on the registry since 2016 · sole proprietor

Practice

Address: 1118 F St
Lewiston, ID 83501
Phone: (208) 799-4440
Fax: (208) 799-5171
Organisation at this address: Idaho Dept Of Health & Welfare Reg 2 Cmh
Idaho Dept Of Health & Welfare Reg Ii Amh Cmog
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston
Idaho Dept. Of Health & Welfare Reg Ii Cmh Lewiston
Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-03-24

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