IndividualActive
Marie Clark, NREMT
NPI 1164306809 · Basic Emergency Medical Technician · Atlanta, ID
Provider details
- NPI number
- 1164306809
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- NREMT
- Sex
- Female
- Sole proprietor
- No
- License
- 8342-4482-1318 (ID)
Mailing address
65 W China Basin Rd
Atlanta, ID 83716-5024
Registry dates
- Enumerated
- 2025-08-05
- Last updated
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.