National Provider Identifier
Coleen Clark, ANP
Coleen Clark, ANP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 883-0515.
Profile Overview
- NPI
- 1588981575
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- April 29, 2010
- Last Updated
- September 03, 2025
Practice Location
- 656 Elmwood Ave
- Buffalo, NY 14222-1836
Phone: (716) 883-0515
Mailing Address
- 179 Montbleu Dr
- Getzville, NY 14068-1330
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1588981575
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Coleen
- Credential
- ANP
- Mailing Street Address
- 179 Montbleu Dr
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1330
- Mailing Country
- US
- Mailing Phone
- (716) 697-2213
- Practice Street Address
- 656 Elmwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-1836
- Practice Country
- US
- Practice Phone
- (716) 883-0515
- Practice Fax
- (716) 883-8764
- Enumeration Date
- April 29, 2010
- Last Updated
- September 03, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 03, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Adult Health Nurse Practitioner (363LA2200X)