Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clark Joseph Wyatt, NP-C

Individual provider Family Nurse Practitioner · NPI 1215448246

Clark Joseph Wyatt, NP-C is a Nurse Practitioner in Twin Falls, Idaho. Qualified in 2017, 9 years ago. Practices with Asthma and Allergy of Idaho PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1502 Locust St N Ste 600
Twin Falls, ID 83301-4164
Phone: (208) 734-6091
Fax: (208) 734-4654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 57139 (ID)

Record details

NPI number1215448246
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 17, 2017
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Asthma And Allergy Of Idaho Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Twin Falls