Individual provider · Type 1 NPI
Charlene M. Clark, LPN
Licensed Practical Nurse · Brentwood, NY
NPI number
1669804886
Active
Practice location
27 Heyward St
Brentwood, NY 11717-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 289760 (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 1669804886
Charlene M. Clark, LPN's National Provider Identifier is 1669804886, issued on Jul 31, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brentwood, NY. The record was last updated on Jul 31, 2013.