Diane Clark, RN, BSN

NPI #1952763377 in Lewiston, Idaho

Provider Information

NPI Number: 1952763377
Entity Type: Individual
Name: Diane Clark, RN, BSN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN, BSN
Enumeration Date: Mar 24, 2016
Last Updated: Mar 24, 2016

Practice Location

Address: 1118 F ST
City: Lewiston
State: Idaho
ZIP Code: 83501-1930
Phone: (208) 799-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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