Nicole Lorraine Clark in Boise - Athletic Trainer
Nicole Lorraine Clark - NPI 1538196563
Nicole Lorraine Clark is a Athletic Trainer in Boise, Idaho. Nicole Lorraine Clark practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Nicole Lorraine Clark is 1538196563. The last update date is 2007-07-08.
Nicole Lorraine Clark's current location address is 1010 W Washington St, Boise, Idaho. You can contact this provider via phone number 2088544270 and fax number 2088544271. The mailing address for Nicole Lorraine Clark is 1010 W Washington St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Lorraine Clark |
|---|---|
| Address | 1010 W Washington St, Boise, Idaho |
| Phone Number | 2088544270 |
| Fax Number | 2088544271 |
| Sole Proprietor | N |
| Credentials | LAT, ATC |
NPI Number Detail
| NPI Number | 1538196563 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1010 W Washington St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837025446 |
| Phone Number | 2088544270 |
| Fax Number | 2088544271 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT-208 |
|
Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
|
Post Comment/ Review Below
What is the unique identifier code issued to Nicole Lorraine Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Nicole Lorraine Clark has been assigned the NPI (National Provider Identifier) 1538196563. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Nicole Lorraine Clark is geographically located?
The Nicole Lorraine Clark is physically situated at the following location: 1010 W Washington St, Boise, ID, 837025446.
What is Nicole Lorraine Clark's area of expertise and its corresponding taxonomy classification?
The Nicole Lorraine Clark's field of specialization is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538196563 to Nicole Lorraine Clark?
The Centers for Medicare & Medicaid Services originally issued the 1538196563 to Nicole Lorraine Clark on 2006-06-26.
As of what date were the details pertaining to Nicole Lorraine Clark last refreshed?
The information related to the Nicole Lorraine Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL