Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYMIR SHAKEER CLARK
Active Sole ProprietorTYMIR SHAKEER CLARK is a Licensed Practical Nurse healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1588126239 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1588126239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2019 (7.4071724083091 yrs)
- Last Updated
- Apr 2, 2019
- License
-
PN307634 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2219 EDGLEY STPHILADELPHIA, PA, 191211300Browse PA providers · Browse ZIP 19121
- Phone
- 2672589167
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELLE D CARROZZA | LPN | 1902993439 |
| MRS. KATHLEEN MARIE HEISLER | LPN | 1740309756 |
| MS. NADINE V GRIFFIN | PN260124L | 1497972731 |
| MR. JOHN ANDREW PATRICK SHAGREN II | LPN | 1538389150 |
| MRS. KHALIDA JOHNSON | LPN | 1982826228 |
| MRS. DIANE MITCHELL | NURSE | 1356553291 |
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.