Shanna G Clark, LPN
NPI #1831442698 in Fort Edward, New York
Provider Information
- NPI Number
- 1831442698
- Entity Type
- Individual
- Name
- Shanna G Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 18, 2012
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 130 WHITE BIRCH EST
- City
- Fort Edward
- State
- New York
- ZIP Code
- 12828-9275
- Phone
- (518) 415-8643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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