ANDREA NICOLE CLARK LPN NPI 1003124223

NPI Information

NPI: 1003124223
Provider Name: ANDREA NICOLE CLARK, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
9869 STATE ROUTE 141
KITTS HILL, OH
ZIP 45645
Phone: (740) 532-4806
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Andrea Nicole Clark, LPN is a licensed practical nurse in Kitts Hill, OH. The provider is 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. Andrea Nicole Clark, LPN NPI is 1003124223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9869 STATE ROUTE 141
KITTS HILL, OH
ZIP 45645-649
Phone: (740) 532-4806

The enumeration date for this NPI number is 9/22/2010 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		141456	OHIO	Yes
2	164W00000X	Licensed Practical Nurse		31330	WEST VIRGINIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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