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

THERESA CLARK

Active Sole Proprietor

THERESA CLARK is a Licensed Practical Nurse healthcare provider located in ONTARIO, New York. NPI 1588118665 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ONTARIO, NY

Registration Details

NPI Number
1588118665
Provider Type
Individual
Gender
Female
NPI Issued
Aug 7, 2016 (10.033892834033 yrs)
Last Updated
Aug 7, 2016
License
322906-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
6541 FURNACE RD
ONTARIO, NY, 145199701
Browse NY providers · Browse ZIP 14519
Phone
5858311829
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in ONTARIO, NY

Name Credential NPI
MRS. DEBORAH JO FELL LPN 1003980707
MS. CATHY LEE RIEDMAN LPN 1457556631
ROBIN L FEDISON 1457551566
MRS. SHEILA MARIE FELL-LOFTUS LPN 1902088271
BRANDIE ANN YORKEY LPN 1942430129
MRS. MARGUERITE ELIZABETH JACKSON LPN 1275864498
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.