Healthcare Provider Details

I. General information

NPI: 1790931202
Provider Name (Legal Business Name): MICHELLE CLAPPERTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11118 MOSS LN
NAMPA ID
83651-8015
US

IV. Provider business mailing address

5998 LYNWOOD RD
NAMPA ID
83686-9510
US

V. Phone/Fax

Practice location:
  • Phone: 208-563-5910
  • Fax:
Mailing address:
  • Phone: 541-212-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN002171
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-904A
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200850102NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: