Samuela Clark, LVN - Licensed Vocational Nurse in Phoenix, AZ

Samuela Clark, LVN is a Licensed Vocational Nurse based in Phoenix, Arizona. Samuela Clark is licensed to practice in California (license number VN192674) and her current practice location is 6306 N 7th St, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 279-5801.

NPI number for Samuela Clark is 1386837912 and her current mailing address is 6306 N 7th St, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386837912.

Contact Information

Samuela Clark, LVN
6306 N 7th St,
Phoenix, AZ 85014-1549
(602) 279-5801
Not Available



Provider's Profile

Full NameSamuela Clark
GenderFemale
SpecialityLicensed Vocational Nurse
Location6306 N 7th St, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386837912
  • Provider Enumeration Date: 08/27/2007
  • Last Update Date: 08/27/2007

Medical Identifiers

Medical identifiers for Samuela Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386837912NPI-NPPES
214634OtherAZAHCCCS
VN192674OtherCACA LVN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse VN192674 (California)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. Samuela 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
Samuela Clark, LVN
6306 N 7th St,
Phoenix, AZ 85014-1549

Ph: (602) 279-5801
Samuela Clark, LVN
6306 N 7th St,
Phoenix, AZ 85014-1549

Ph: (602) 279-5801

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Licensed Vocational Nurse Nurses in Phoenix, AZ

Amber M Booth,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 20402 N 15th Ave, Phoenix, AZ 85027
Phone: 623-445-4952    Fax: 623-445-5083
Klarinda Mae Hart, LPN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6308 W Campbell Ave, Phoenix, AZ 85033
Phone: 623-619-4915    
Ms. Gwyndolen Smith, LPN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 711 E Missouri Ave Ste 100, Phoenix, AZ 85014
Phone: 602-433-1200    
Lori Ann Passineau, LPN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 13223 N 20th St Apt 4, Phoenix, AZ 85022
Phone: 602-404-6511    
Barbara Householder,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6824 S 37th Gln, Phoenix, AZ 85041
Phone: 928-221-2695    
Maritza Aguirre,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4135 W Thomas Rd, Phoenix, AZ 85019
Phone: 602-455-6700    

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