Caitlin Randi Clark, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Midvale, UT

NPI

1376421883

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

12591240-8900 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2025-08-22

Last updated

2025-09-24