IndividualActive
Angela Clark, NP
NPI 1174810691 · Family Nurse Practitioner · Fairbanks, AK
Provider details
- NPI number
- 1174810691
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- APN0000015858 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone: (907) 451-6682
Approximate (ZIP-level) locationGet directions
Mailing address
1717 W Cowles St
Fairbanks, AK 99701-5926
Additional practice locations (3)
- 210 9th St SeRochester, MN 55904Phone: (507) 288-3443
- 210 9th St SeRochester, MN 55904Phone: (507) 288-3443
- 350 Pageant LnSuite 102Clarksville, TN 37040-8606Phone: (931) 906-2001
Registry dates
- Enumerated
- 2011-07-05
- Last updated
- 2021-04-15
- Certified
- 2021-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.