P Praxis·MD
● Active Type 1 · Individual

Marie Clark, NREMT

Emergency Medical Technician, Basic·Atlanta, ID· NPI 1164306809 · Enumerated 2025 · 0 years on NPI
Clark is 1 of 1 emergency medical technician, basic providers in Atlanta and 1 of 7 in Idaho.
NPI age
— years
Enumerated 2025-08-05
Primary specialty
Emergency Medical Technician, Basic
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7 active emergency medical technician, basic providers in Idaho.

NPI age
0 years
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-08Enumerated in NPPES
2025 2026

Where they practice

Practice location
97 W Pine St
Atlanta, ID 837165032
📞 2063967437
Mailing address
65 W China Basin Rd
Atlanta, ID 837165024
📞 2063967437

Specialties

  • Emergency Medical Technician, Basic Primary
    A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
    ID license #8342-4482-1318 taxonomy 146N00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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