NICHOLAS CLARK, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1538657465
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 8096 (WY) |
Frequently Asked Questions
NPI 1538657465 is the National Provider Identifier for NICHOLAS CLARK, LPN, a Licensed Practical Nurse provider located in Evanston, WY. This NPI was enumerated on April 26, 2018.
NICHOLAS CLARK, LPN practices at 350 CITY VIEW DR STE 206, Evanston, WY 82930.
Quick Facts
- NPI
- 1538657465
- Type
- Individual
- Enumerated
- Apr 26, 2018
- Last Updated
- May 29, 2018
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