National Provider Identifier

Ashton B Clark

Ashton B Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 354-8032.

NPI 1013540723Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1013540723
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 20, 2020
Last Updated
February 20, 2020

Practice Location

  • 112 W Meadows Dr
  • Rochester, NY 14616-3409

Phone: (585) 354-8032

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1013540723
Entity Type
Individual
Last Name
Clark
First Name
Ashton
Middle Name
B
Mailing Street Address
112 W Meadows Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-3409
Mailing Country
US
Practice Street Address
112 W Meadows Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-3409
Practice Country
US
Practice Phone
(585) 354-8032
Enumeration Date
February 20, 2020
Last Updated
February 20, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
February 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)