1. Home
  2. Directory
  3. Idaho
  4. Fort Hall
  5. Licensed Practical Nurse
  6. NPI Profile

ANGELA L CLARKE PN
NPI 1073768669
Licensed Practical Nurse in Fort Hall, ID

Active since November 24, 2008
PIMA DRIVE, FORT HALL, ID 83203(208) 238-2400(208) 238-5462 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angela L Clarke Pn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA L CLARKE PN (NPI 1073768669) is an individual licensed practical nurse in Fort Hall, Idaho, licensed in Idaho (PN 10202) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1073768669
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELA L CLARKECredential: PN
Location AddressPIMA DRIVEFort Hall, ID 83203-0306
Mailing AddressPo Box 306Fort Hall, ID 83203-0306 · (208) 238-2400 · Fax (208) 238-5462
Phone(208) 238-2400
Fax(208) 238-5462
Sole ProprietorNo
Enumeration DateNovember 24, 2008
✔ NPI 1073768669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in ID · PN 10202
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

PIMA DRIVE, Fort Hall, ID 83203
Open in Google Maps ↗

Other Identifiers 1

Medicaid003399100ID

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Clarke's NPI number?

The NPI number for Angela Clarke is 1073768669. It was assigned to this individual provider in the NPPES registry on November 24, 2008.

Where is Angela Clarke located?

Angela Clarke practices at Pima Drive, Fort Hall, ID 83203. The listed phone number is (208) 238-2400.

What is Angela Clarke's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angela Clarke was last updated on November 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.