| Nicholas Clark, LPN | |
|
350 City View Dr Ste 206, Evanston, WY 82930 | |
| (307) 789-7915 | |
| Not Available |
| Full Name | Nicholas Clark |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 350 City View Dr Ste 206, Evanston, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538657465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 8096 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Clark, LPN 350 City View Dr Ste 206, Evanston, WY 82930-5326 Ph: (307) 789-7915 | Nicholas Clark, LPN 350 City View Dr Ste 206, Evanston, WY 82930 Ph: (307) 789-7915 |
Cheryl Ann Sherman, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1575 Highway 150 S Ste A, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 | |
Cynthia Gail Northrup, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 350 City View Dr, Ste 302, Evanston, WY 82930 Phone: 307-789-7915 Fax: 307-789-6009 | |
Janile Susan Kennedy, LICENSED NURSE Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 108 Yellow Creek Rd, Evanston, WY 82930 Phone: 307-789-2652 Fax: 307-789-6227 | |
Coreena J Bradley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 | |
Gale Mcguire, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 196 Arrowhead Dr, Ste 6, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 | |
Garrett E. Platt, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 196 Arrowhead Dr Ste 6, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 |