Individual provider · Type 1 NPI
Shaneen Clark, APRN
Family Nurse Practitioner · Orlando, FL
NPI number
1790216802
Active
Practice location
7726 Winegard Rd Fl 21013
Orlando, FL 32809-7147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11037260 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1790216802
Shaneen Clark, APRN's National Provider Identifier is 1790216802, issued on Mar 22, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orlando, FL. The record was last updated on Jan 24, 2025.