Andrea Nicole Clark, LPN
NPI #1003124223 in Kitts Hill, Ohio
Provider Information
- NPI Number
- 1003124223
- Entity Type
- Individual
- Name
- Andrea Nicole Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Sep 22, 2010
- Last Updated
- Oct 28, 2014
Practice Location
- Address
- 9869 STATE ROUTE 141
- City
- Kitts Hill
- State
- Ohio
- ZIP Code
- 45645-8649
- Phone
- (740) 532-4806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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