-- DIANE CLARK -- RN, BSN
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1952763377- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN, BSN
- Status
- Active
Contact & Location
- Address
- 1118 F ST, LEWISTON, ID, 835011930
- Phone
- (208) 799-4440
- Fax
- (208) 799-5171
Specialties & Taxonomies
Registered Nurse
Primary License: ID #N-29174