Individual provider · Type 1 NPI

Brian K. Clark Sr.

Licensed Practical Nurse · Cleveland, OH

NPI number 1992363345 Active

Practice location

15201 Judson Dr
Cleveland, OH 44128-1956

Call (216) 855-1969 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X169548 (OH)

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 1992363345

Brian K. Clark Sr.'s National Provider Identifier is 1992363345, issued on May 31, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cleveland, OH. The record was last updated on May 31, 2019.