IndividualActive
Bridgett Clark
NPI 1114891967 · Student in an Organized Health Care Education/Training Program · Coeur D Alene, ID
Provider details
- NPI number
- 1114891967
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
2101 N Lakewood Dr Ste 222
Coeur D Alene, ID 83814-2473
Phone: (208) 274-3320
Approximate (ZIP-level) locationGet directions
Mailing address
2101 N Lakewood Dr Ste 222
Coeur D Alene, ID 83814-2473
Registry dates
- Enumerated
- 2025-10-03
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.