National Provider Identifier

Samantha Clark, RN

Samantha Clark, RN is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse in Rochester, NY and a listed phone number of (585) 753-5927.

NPI 1376393835Rochester, NYPediatric Registered Nurse

Profile Overview

NPI
1376393835
Provider Type
Individual
Primary Specialty
Pediatric Registered Nurse
Enumeration Date
March 26, 2024
Last Updated
March 26, 2024

Practice Location

  • 451 E Henrietta RD Fl 2
  • Rochester, NY 14620-4629

Phone: (585) 753-5927

Specialties

  • Pediatric Registered Nurse (163WP0200X)
Full Record
NPI
1376393835
Entity Type
Individual
Last Name
Clark
First Name
Samantha
Credential
RN
Mailing Street Address
451 E Henrietta RD Fl 2
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4629
Mailing Country
US
Practice Street Address
451 E Henrietta RD Fl 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4629
Practice Country
US
Practice Phone
(585) 753-5927
Enumeration Date
March 26, 2024
Last Updated
March 26, 2024
Sex
Female
Sole Proprietor
No
Certification Date
March 26, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Registered Nurse (163WP0200X)