Nicholas Clark, LPN

NPI #1538657465 in Evanston, Wyoming

Provider Information

NPI Number
1538657465
Entity Type
Individual
Name
Nicholas Clark, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 26, 2018
Last Updated
May 29, 2018

Practice Location

Address
350 CITY VIEW DR STE 206
State
Wyoming
ZIP Code
82930
Phone
(307) 789-7915

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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