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Contact Information

SYDNEY C CLARK, APRN
305 E JEFFERSON ST
BOISE, ID83712-6231
 Phone: 208-381-2335
 Fax: 208-381-2336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SYDNEY C CLARK · (Female)

NPI Number 1134913619
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 04/08/2025
Last updated 06/09/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • ID License # 4571255
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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