Individual
ANGELA L CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PN
Contact information
Practice address
PIMA DRIVE, FORT HALL, ID 83203-0306
(208) 238-2400
(208) 238-5462
Mailing address
PO BOX 306, FORT HALL, ID 83203-0306
(208) 238-2400
(208) 238-5462
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 10202
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003399100
—
ID
Enumeration date
11/24/2008
Last updated
11/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us