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Catherine J Clark, LPN
Licensed Practical Nurse in Cortland, New York
NPI 1538456751

Catherine J Clark is a Licensed Practical Nurse based in Cortland, NY. Catherine J Clark practices in Cortland, NY and has the professional credentials of LPN. The NPI Number for Catherine J Clark is 1538456751 and holds a License No. 260610-1 (New York).

The current practice location address for Catherine J Clark is 111 Port Watson St, Cortland, NY and can be reached out via phone at 607-753-9326 and via fax at 607-756-8458.

Location: 111 Port Watson St, Cortland, NY, 13045-3157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538456751
Provider Name
Catherine J Clark
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
111 Port Watson St, Cortland, NY, 13045-3157
Phone Number
607-753-9326
Fax Number
607-756-8458
Provider Enumeration Date
07/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
260610-1 01 NY NYS LPN LICENSE
institution
Provider Business Practice Location Address Details
Address
111 Port Watson St
City
Cortland
State
New York
Zip
13045-3157
Phone Number
607-753-9326
Fax Number
607-756-8458
person
Provider Business Mailing Address Details
Address
111 Port Watson St
City
Cortland
State
New York
Zip
13045-3157
Phone Number
607-753-9326
Fax Number
607-756-8458
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
260610-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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