Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNA G CLARK, LPN
DeactivatedSHANNA G CLARK, LPN is a Licensed Practical Nurse healthcare provider located in FORT EDWARD, New York. NPI 1831442698 is deactivated in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · FORT EDWARD, NY
This NPI has been deactivated.
The record was deactivated on October 21, 2020.
Deactivated NPIs are no longer valid for billing or credentialing.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
- 1831442698
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2012 (8.0082191780822 yrs)
- Last Updated
- Oct 28, 2020
- Deactivated
- Oct 21, 2020
- License
-
277227 (NY)
Practice Information
- Address
-
130 WHITE BIRCH ESTFORT EDWARD, NY, 128289275Browse NY providers · Browse ZIP 12828
- Phone
- 5184158643
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in FORT EDWARD, NY
| Name | Credential | NPI |
|---|---|---|
| SUEANNE SHEPPARD-NIEDHAMMER | LPN | 1508925959 |
| STEPHEN LAPE | LPN | 1235365065 |
| MARINEA BONENFANT | — | 1770816589 |
| MRS. BONNIE SUMMERS OVITT | LPN | 1043548118 |
| MRS. ASHLEY DIANE JOHNSON | LPN | 1689935215 |
| MRS. LESLIE CARPENTER | LPN | 1740640416 |
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.