Nicholas Clark, LPN - Licensed Practical Nurse in Evanston, WY

Nicholas Clark, LPN is a Licensed Practical Nurse based in Evanston, Wyoming. Nicholas Clark is licensed to practice in Wyoming (license number 8096) and his current practice location is 350 City View Dr Ste 206, Evanston, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 789-7915.

NPI number for Nicholas Clark is 1538657465 and his current mailing address is 350 City View Dr Ste 206, Evanston, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538657465.

Contact Information

Nicholas Clark, LPN
350 City View Dr Ste 206,
Evanston, WY 82930
(307) 789-7915
Not Available



Provider's Profile

Full NameNicholas Clark
GenderMale
SpecialityLicensed Practical Nurse
Location350 City View Dr Ste 206, Evanston, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538657465
  • Provider Enumeration Date: 04/26/2018
  • Last Update Date: 05/29/2018

Medical Identifiers

Medical identifiers for Nicholas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538657465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 8096 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 7 days ago


Licensed Practical Nurse Nurses in Evanston, WY

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

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