HAILEY ANNE CLARK

MOUNTAIN VIEW HOSPITAL LLC

Dr HAILEY ANNE CLARK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.

Contact

MOUNTAIN VIEW HOSPITAL LLC

167 E 1ST
RIGBY
ID
834421401

Tel: 2087458747

HAILEY ANNE CLARK Information

Npi 1487125969
Pac Id 8921348129
Professional Enrollment Id I20190326002408
Last Name CLARK
First Name HAILEY
Middle Name ANNE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MOUNTAIN VIEW HOSPITAL LLC
Group Practice Pac Id 4486562774
Number Of Group Practice Members 110
Line 1 Street Address 167 E 1ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RIGBY
State ID
Zip Code 834421401
Phone Number 2087458747
Hospital Affiliation Ccn 1 130065
Hospital Affiliation Lbn 1 MOUNTAIN VIEW HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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