National Provider Identifier
Stephanie Clark
Stephanie Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (716) 208-4601.
Source: public NPPES record, last updated January 07, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1306486444
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 07, 2020
- Last Updated
- January 07, 2020
Practice Location
- 636 Clay Ave Uppr
- Rochester, NY 14613-1030
Phone: (716) 208-4601
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Stephanie Clark is a Rochester, New York-based licensed practical nurse, with public provider records listing a New York LPN license and an individual practice profile in the city.
Full Record
- NPI
- 1306486444
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Stephanie
- Mailing Street Address
- 636 Clay Ave Uppr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613-1030
- Mailing Country
- US
- Mailing Phone
- (716) 208-4601
- Practice Street Address
- 636 Clay Ave Uppr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613-1030
- Practice Country
- US
- Practice Phone
- (716) 208-4601
- Enumeration Date
- January 07, 2020
- Last Updated
- January 07, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 07, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)