Individual provider · Type 1 NPI

Bonnie J. Clark, LPN

Licensed Practical Nurse · Corning, NY

NPI number 1104173822 Active

Practice location

47 Caton Rd
Corning, NY 14830-3741

Call (607) 937-4385 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X217212-1 (NY)

Licensed Practical Nurse: 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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About NPI 1104173822

Bonnie J. Clark, LPN's National Provider Identifier is 1104173822, issued on Aug 13, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Corning, NY. The record was last updated on Aug 13, 2012.