MRS. STEPHANIE CLARK


Address: 55 Ramble Hill Lane, Millbrook, NY 12545
Phone: 8456779500

MRS. STEPHANIE CLARK (NPI# 1487719787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487719787
Entity Type Individual
Full Name MRS. STEPHANIE CLARK
Other Name MS. STEPHANIE WADWANSKI
Credential LICENSED PRACTICAL
Practice Address 55 Ramble Hill Lane
Millbrook
NY 12545
Mailing Address 50 Woodcrest Dr
Hopewell Jct
NY 12533
Practice Telephone 8456779500
Mailing Telephone 8452276106
Mailing Fax Number 8452278950
Enumeration Date 2006-12-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 1761701 NY Nursing Service Providers

Other Providers STEPHANIE CLARK

NPI Name Taxonomy Address Enumeration
1922612605 Stephanie Clark Massage Therapist 15227 Spring Cor, San Antonio, TX 78247-1693 2020-09-01
1811516156 Stephanie Clark Social Worker 10185 Isle St, Parker, CO 80134-5788 2020-04-15
1306486444 Stephanie Clark Licensed Practical Nurse 636 Clay Ave Uppr, Rochester, NY 14613-1030 2020-01-07
1841681046 Stephanie Clark Technician, Other 2917 S Ash Ct, Broken Arrow, OK 74012-7804 2015-02-09
1760816326 Stephanie Diane Clark Case Manager/Care Coordinator 4613 Se 41st St, Del City, OK 73115-3703 2013-08-30
1538447560 Stephanie Renae Clark Physical Therapist 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 2011-07-25
1932330545 Stephanie D Clark Social Worker 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 2009-07-30
1811057425 Stephanie Clark Dentist 7601 A Germantown Ave, Philadelphia, PA 19119 2006-12-12
1700864733 Stephanie Elaine Clark Audiologist 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 2006-01-09
1851395453 Stephanie Clark Chiropractor 3 Elmwood Rd, Hancock, NH 03449-5629 2005-06-10

Office Location

Street Address 55 RAMBLE HILL LANE
City MILLBROOK
State NY
Zip Code 12545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801058623 Bruce W Elmendorf Registered Nurse 55 Ramble Hill Lane, Millbrook, NY 12545 2008-07-02
1487839742 Anita Palau Licensed Practical Nurse 55 Ramble Hill Lane, Millbrook, NY 12545 2008-01-07
1457472136 Daytop Village, Inc. Substance Abuse Rehabilitation Facility 55 Ramble Hill Lane, Millbrook, NY 12545 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548618531 Teresa Goetz Acupuncturist 22 Washington Avenue, Millbrook, NY 12545 2016-05-31
1588918668 Michelle Schmid Occupational Therapy Assistant 41 Alden Place, Millbrook Central School District, Millbrook, NY 12545 2012-10-29
1306091103 Mindy Sue Marr Speech-Language Pathologist 30 Weatherford Lane, Millbrook, NY 12545 2008-11-20
1356596266 John M. Supple Family Medicine 3573 Rt. 82, Millbrook, NY 12545 2008-11-19
1285883173 Anne Cecelia Zukowski Licensed Practical Nurse 127 College Lane, Millbrook, NY 12545 2008-09-16
1295983336 Justin Scheer Internal Medicine 3105 Route 44, Millbrook, NY 12545 2008-09-03
1851588990 Millbrook Medical Practice PC Specialist 28 Front Street, Millbrook, NY 12545 2007-10-03
1952518177 Leonard N Lomangino Dentist 3302 Franklin Avenue, Millbrook, NY 12545 2007-05-17
1629298849 Victor Y Soltis Dentist 3302 Franklin Ave, Millbrook, NY 12545 2007-04-27
1538292784 Adrienne Celeste Murawa Licensed Practical Nurse 55 Ramble Hill Ln, Millbrook, NY 12545 2007-03-14
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013253202 Kathryn Anderson Licensed Practical Nurse 86 Stanford Rd, Millbrook, NY 12545-5605 2012-12-17
1285883173 Anne Cecelia Zukowski Licensed Practical Nurse 127 College Lane, Millbrook, NY 12545 2008-09-16
1538292784 Adrienne Celeste Murawa Licensed Practical Nurse 55 Ramble Hill Ln, Millbrook, NY 12545 2007-03-14
1487839742 Anita Palau Licensed Practical Nurse 55 Ramble Hill Lane, Millbrook, NY 12545 2008-01-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730780503 Michael Lee Hendryx Licensed Practical Nurse 803 Bell St, Olean, NY 14760-3005 2020-11-06
1720689664 Chynna S Brown Licensed Practical Nurse 483 Newbury St, Rochester, NY 14615-3209 2020-11-06
1588265433 Deanna Lucas Licensed Practical Nurse 206 Prospect Pl, Bay Shore, NY 11706-1537 2020-11-06
1659972511 Katiesianna Marie Kovalsky Licensed Practical Nurse 718 Griswold Hts, Troy, NY 12180-5168 2020-11-05
1538760608 Shanequa Marshall Licensed Practical Nurse 100 Park Ave Apt 1, Amityville, NY 11701-3165 2020-11-05
1780285007 Jarleyn Severino Licensed Practical Nurse 10 Waterview Pl, Lynbrook, NY 11563-1921 2020-11-03
1023619590 Lisa A Loomis Licensed Practical Nurse 2198 Us Highway 20, Nassau, NY 12123-1733 2020-11-02
1235739061 Kathleen Zalamea Licensed Practical Nurse 37 Howells Rd, Bay Shore, NY 11706-6502 2020-10-30
1649870494 Khairat Salami Licensed Practical Nurse 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 2020-10-30
1518567437 Catherine Grullon Licensed Practical Nurse 32 Crescent Ave, Newburgh, NY 12550-3134 2020-10-29
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Competitor

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City MILLBROOK
Zip Code 12545

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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