| Angela L Clarke, PN | |
|
Pima Drive, Fort Hall, ID 83203-0306 | |
| (208) 238-2400 | |
| (208) 238-5462 |
| Full Name | Angela L Clarke |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | Pima Drive, Fort Hall, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073768669 | NPI | - | NPPES |
| 003399100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN 10202 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angela L Clarke, PN Po Box 306, Fort Hall, ID 83203-0306 Ph: (208) 238-2400 | Angela L Clarke, PN Pima Drive, Fort Hall, ID 83203-0306 Ph: (208) 238-2400 |
Kristina M Kniffen, PN-14938 Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Rd, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 | |
Valarie Ann Kaser, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: Mission Rd, Fort Hall, ID 83202 Phone: 108-238-5456 Fax: 208-238-5465 | |
Brandy Pugmire, PN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Rd, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 |