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Shanna Clark, LPN
NPI 1831442698 · on the registry since 2012
Practice
- Address
- 130 White Birch Est
Fort Edward, NY 12828 - Phone
- (518) 415-8643
Additional practice sites
- 357 Milton Ave, Ballston Spa, NY
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York