National Provider Identifier
Bonnie J Clark, LPN
Bonnie J Clark, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Corning, NY and a listed phone number of (607) 937-4385.
Profile Overview
- NPI
- 1104173822
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 13, 2012
- Last Updated
- August 13, 2012
Practice Location
- 47 Caton RD
- Corning, NY 14830-3741
Phone: (607) 937-4385
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1104173822
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Bonnie
- Middle Name
- J
- Credential
- LPN
- Provider Other Last Name
- White
- Provider Other First Name
- Bonnie
- Provider Other Middle Name
- J
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 47 Caton RD
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-3741
- Mailing Country
- US
- Mailing Phone
- (607) 937-4385
- Practice Street Address
- 47 Caton RD
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-3741
- Practice Country
- US
- Practice Phone
- (607) 937-4385
- Enumeration Date
- August 13, 2012
- Last Updated
- August 13, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)