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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIEDRIAN CLARKE

Deactivated Sole Proprietor

DIEDRIAN CLARKE is a Registered Nurse healthcare provider located in FISHKILL, New York. NPI 1053686873 is deactivated in the NPPES registry. Verify at CMS.

Registered Nurse · FISHKILL, NY

This NPI has been deactivated. The record was deactivated on July 30, 2013. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1053686873
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2012 (1.3835616438356 yrs)
Last Updated
Dec 17, 2025
Deactivated
Jul 30, 2013
License
649609-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1524 MAX WAY
FISHKILL, NY, 125243942
Browse NY providers · Browse ZIP 12524
Phone
9144397815
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in FISHKILL, NY

Name Credential NPI
BRENDA JOYCE ARDREY R.N. 1821150731
MRS. JOAN J MILES RN 1154512838
MS. MILDRED M AGBANA 1225227853
MS. DEBORAH GAIL GILDENER RN ESQ 1619135449
MS. ALASEDA FASENNTAO 1184850380
MRS. KOREEN BRUNOT RN 1659679017
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.