National Provider Identifier
Carol Clark
Carol Clark is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 690-4307.
Profile Overview
- NPI
- 1023889946
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- January 10, 2024
- Last Updated
- January 10, 2024
Practice Location
- 238 Crittenden Way Apt 3
- Rochester, NY 14623-2226
Phone: (585) 690-4307
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1023889946
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Carol
- Mailing Street Address
- 238 Crittenden Way Apt 3
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2226
- Mailing Country
- US
- Mailing Phone
- (585) 690-4307
- Practice Street Address
- 238 Crittenden Way Apt 3
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2226
- Practice Country
- US
- Practice Phone
- (585) 690-4307
- Enumeration Date
- January 10, 2024
- Last Updated
- January 10, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)