Individual
MARGARET L CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
104 W 5TH AVE, SUITE 200W, SPOKANE, WA 99204-4880
(509) 744-3750
(509) 744-3969
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-6842
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP0004159
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9640160
—
WA
01
—
P00211634
RAILROAD MCR
—
Enumeration date
12/09/2005
Last updated
05/03/2021
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