NPI 1538657465
Nicholas Clark, LPN
Practice location
- Address
- 350 City View Dr STE 206, Evanston, WY 82930
- Phone
- (307) 789-7915
- Mailing address
- 350 City View Dr STE 206, Evanston, WY 82930-5326
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1538657465
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Apr 2018
- Record last updated
- 29 May 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.