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Beth Clark, RN

Registered Nurse in Glens Falls, NY. Individual provider (NPI-1).

NPI number1750831004
StatusActive
Last updated in NPPESOct 11, 2016

Details

NPI
1750831004
Entity type
Individual (NPI-1)
Name
Beth Clark
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 11, 2016
Last updated
Oct 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse500874-1NYYes

Practice location

23 Edgewater Pl
Glens Falls, NY 12801-4110

Phone 518-798-8699

Mailing address

23 Edgewater Pl
Glens Falls, NY 12801-4110

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