IndividualActive
Caitlin Clark, FNP
NPI 1376421883 · Family Nurse Practitioner · Midvale, UT
Provider details
- NPI number
- 1376421883
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 12591240-8900 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
623 E Fort Union Blvd Ste 105
Midvale, UT 84047-5529
Phone: (801) 261-9490
Approximate (ZIP-level) locationGet directions
Mailing address
1711 Grant Ave
Ogden, UT 84404-5730
Registry dates
- Enumerated
- 2025-08-22
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.