National Provider Identifier
Susan Carole Clark
Susan Carole Clark is listed in the NPPES registry with a primary specialty of Registered Nurse in Penn Yan, NY and a listed phone number of (315) 536-2331.
Profile Overview
- NPI
- 1265143887
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- December 06, 2022
- Last Updated
- December 06, 2022
Practice Location
- 1 School Dr
- Penn Yan, NY 14527-1081
Phone: (315) 536-2331
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1265143887
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Susan
- Middle Name
- Carole
- Mailing Street Address
- 1 School Dr
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1081
- Mailing Country
- US
- Mailing Phone
- (315) 536-2331
- Practice Street Address
- 1 School Dr
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1081
- Practice Country
- US
- Practice Phone
- (315) 536-2331
- Enumeration Date
- December 06, 2022
- Last Updated
- December 06, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 06, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)