National Provider Identifier
Theresa Clark
Theresa Clark is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (585) 831-1829.
Source: public NPPES record, last updated August 07, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1588118665
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 07, 2016
- Last Updated
- August 07, 2016
Practice Location
- 6541 Furnace RD
- Ontario, NY 14519-9701
Phone: (585) 831-1829
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Theresa Clark is a New York licensed practical nurse based in Ontario, New York. Public provider records list her New York LPN licensure and identify her as an individual nursing provider in the Ontario community.
Full Record
- NPI
- 1588118665
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Theresa
- Mailing Street Address
- 6541 Furnace RD
- Mailing City
- Ontario
- Mailing State
- NY
- Mailing ZIP Code
- 14519-9701
- Mailing Country
- US
- Mailing Phone
- (585) 831-1829
- Practice Street Address
- 6541 Furnace RD
- Practice City
- Ontario
- Practice State
- NY
- Practice ZIP Code
- 14519-9701
- Practice Country
- US
- Practice Phone
- (585) 831-1829
- Enumeration Date
- August 07, 2016
- Last Updated
- August 07, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)