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DEVAN CLARK LMT
NPI 1497202279
Specialist in Wasilla, AK

Active since September 08, 2016
3540 N SNOW GOOSE DR, WASILLA, AK 99654(419) 961-3818 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devan Clark Lmt NPPES

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

DEVAN CLARK LMT (NPI 1497202279) is an individual specialist in Wasilla, Alaska, licensed in Alaska (107485) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1497202279
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDEVAN CLARKCredential: LMT
Location Address3540 N SNOW GOOSE DRWasilla, AK 99654-2505
Mailing Address3540 N Snow Goose DrWasilla, AK 99654-2505 · (419) 961-3818
Phone(419) 961-3818
Sole ProprietorNo
Enumeration DateSeptember 8, 2016
✔ NPI 1497202279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in AK · 107485✔ Licensed in AZ · MT-21190
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3540 N SNOW GOOSE DR, Wasilla, AK 99654
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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 Devan Clark's NPI number?

The NPI number for Devan Clark is 1497202279. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Devan Clark located?

Devan Clark practices at 3540 N Snow Goose Dr, Wasilla, AK 99654. The listed phone number is (419) 961-3818.

What is Devan Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Devan Clark was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.