ANGELA KAY CLARK NP NPI 1174810691

NPI Information

Angela Kay Clark, NP is a family nurse practitioner in Fairbanks, AK with 14 years of experience. Angela Kay Clark, NP NPI is 1174810691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

1717 W COWLES ST
FAIRBANKS, AK
ZIP 99701-926
Phone: (907) 451-6682

The NPI 1174810691 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2011 and was last updated on 4/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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