National Provider Identifier
Reeda Irene Clark, LPN
Reeda Irene Clark, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Erin, NY and a listed phone number of (607) 739-1504.
Profile Overview
- NPI
- 1821296369
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 06, 2007
- Last Updated
- July 09, 2007
Practice Location
- 236 Park Station RD
- Erin, NY 14838-9735
Phone: (607) 739-1504
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1821296369
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Reeda
- Middle Name
- Irene
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 236 Park Station RD
- Mailing City
- Erin
- Mailing State
- NY
- Mailing ZIP Code
- 14838-9735
- Mailing Country
- US
- Mailing Phone
- (607) 739-1504
- Practice Street Address
- 236 Park Station RD
- Practice City
- Erin
- Practice State
- NY
- Practice ZIP Code
- 14838-9735
- Practice Country
- US
- Practice Phone
- (607) 739-1504
- Enumeration Date
- July 06, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 01223427 (NY)