National Provider Identifier
Mary L Clyde, LPN
Mary L Clyde, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Clifton Springs, NY and a listed phone number of (315) 462-7221.
Profile Overview
- NPI
- 1295962595
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 15, 2009
- Last Updated
- June 15, 2009
Practice Location
- 29 Crane St
- Clifton Springs, NY 14432-1061
Phone: (315) 462-7221
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1295962595
- Entity Type
- Individual
- Last Name
- Clyde
- First Name
- Mary
- Middle Name
- L
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Clyde
- Provider Other First Name
- Mary
- Provider Other Middle Name
- Thayer
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 29 Crane St
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-1061
- Mailing Country
- US
- Mailing Phone
- (315) 462-7221
- Practice Street Address
- 29 Crane St
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-1061
- Practice Country
- US
- Practice Phone
- (315) 462-7221
- Enumeration Date
- June 15, 2009
- Last Updated
- June 15, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)