Individual provider · Type 1 NPI

Angelique Clark

Licensed Practical Nurse · Johnstown, PA

NPI number 1912843517 Active

Practice location

159 Mayluth Rd
Johnstown, PA 15904-2632

Call (267) 240-9184 Map

Fax (267) 240-9184

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN314105 (PA)

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 1912843517

Angelique Clark's National Provider Identifier is 1912843517, issued on Apr 27, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Johnstown, PA. The record was last updated on Apr 27, 2026.