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Theresa Clark
Licensed Practical Nurse in Ontario, New York
NPI 1588118665

Theresa Clark is a Licensed Practical Nurse based in Ontario, NY. Theresa Clark practices in Ontario, NY. The NPI Number for Theresa Clark is 1588118665 and holds a License No. 322906-1 (New York).

The current practice location address for Theresa Clark is 6541 Furnace Rd, Ontario, NY and can be reached out via phone at 585-831-1829.

Location: 6541 Furnace Rd, Ontario, NY, 14519-9701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588118665
Provider Name
Theresa Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
6541 Furnace Rd, Ontario, NY, 14519-9701
Phone Number
585-831-1829
Fax Number
Provider Enumeration Date
08/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6541 Furnace Rd
City
Ontario
State
New York
Zip
14519-9701
Phone Number
585-831-1829
Fax Number
person
Provider Business Mailing Address Details
Address
6541 Furnace Rd
City
Ontario
State
New York
Zip
14519-9701
Phone Number
585-831-1829
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
322906-1 (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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