Hailey A. Clark Fnp-C LLC
Hailey A. Clark Fnp-C LLC is a Health Service Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
814 Pancheri DrIdaho Falls, ID 83402-3344
Phone: (208) 223-1049
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1689269177 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hailey Clark — Owner · (208) 223-1049 |
| NPI enumerated | March 5, 2021 |
| Last updated in NPPES | March 5, 2021 |
| Certification date | March 5, 2021 |
| Mailing address | 4060 Duane St, Idaho Falls, ID 83401-1846 |
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