Hailey A. Clark Fnp-C LLC
NPI #1689269177 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1689269177
- Entity Type
- Organization
- Organization Name
- Hailey A. Clark Fnp-C LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 5, 2021
- Last Updated
- Mar 5, 2021
Practice Location
- Address
- 814 PANCHERI DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3344
- Phone
- (208) 223-1049
Authorized Official
- Name
- MRS. HAILEY ANNE CLARK, FNP-C
- Title
- OWNER
- Phone
- (208) 223-1049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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