NICHOLAS CLARK LPN
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1538657465- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPN
- Status
- Active
Contact & Location
- Address
- 350 CITY VIEW DR STE 206, EVANSTON, WY, 82930
- Phone
- (307) 789-7915
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: WY #8096