Individual provider · Type 1 NPI

Vickie J. Clark, RN

Registered Nurse · Shrub Oak, NY

NPI number 1316105224 Active

Practice location

3151 Stoney St
Shrub Oak, NY 10588-0000

Fax (914) 245-9485

Mailing address

3151 Stoney Street, Phoenix House Foundation Yorktown Academy
Shrub Oak, NY 10588

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X3283441 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1316105224

Vickie J. Clark, RN's National Provider Identifier is 1316105224, issued on May 28, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Shrub Oak, NY. The record was last updated on May 28, 2008.