National Provider Identifier
Ava Clark, RN
Ava Clark, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.
Profile Overview
- NPI
- 1366793770
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- September 25, 2012
- Last Updated
- September 25, 2012
Practice Location
- 1680 Walden Ave
- Cheektowaga, NY 14225-4914
Phone: (716) 894-7777
Mailing Address
- 93 Larchmont RD
- Buffalo, NY 14214-1209
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1366793770
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Ava
- Credential
- RN
- Mailing Street Address
- 93 Larchmont RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1209
- Mailing Country
- US
- Mailing Phone
- (716) 898-4266
- Practice Street Address
- 1680 Walden Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4914
- Practice Country
- US
- Practice Phone
- (716) 894-7777
- Practice Fax
- (716) 894-0604
- Enumeration Date
- September 25, 2012
- Last Updated
- September 25, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)