MRS. STEPHANIE CLARK LICENSED PRACTICAL
NPI 1487719787
Licensed Practical Nurse in Millbrook, NY

Active since December 27, 2006
55 RAMBLE HILL LANE, MILLBROOK, NY 12545(845) 677-9500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stephanie Clark Licensed Practical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STEPHANIE CLARK LICENSED PRACTICAL (NPI 1487719787) is an individual licensed practical nurse in Millbrook, New York, licensed in New York (1761701) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1487719787
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. STEPHANIE CLARKCredential: LICENSED PRACTICAL
Location Address55 RAMBLE HILL LANEMillbrook, NY 12545
Mailing Address50 Woodcrest DrHopewell Jct, NY 12533 · (845) 227-6106 · Fax (845) 227-8950
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1487719787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 1761701
Definition
A licensed practical nurse 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.
55 RAMBLE HILL LANE, Millbrook, NY 12545

Other Names 1

Former Name (1)Ms. Stephanie Wadwanski Lpn

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
55 RAMBLE HILL LANE
MILLBROOK, NY 12545
Licensed Practical Nurse
55 RAMBLE HILL LANE
MILLBROOK, NY 12545
Registered Nurse
55 RAMBLE HILL LANE
MILLBROOK, NY 12545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1487719787. It was assigned to this individual provider in the NPPES registry on December 27, 2006. The provider is also known as Ms. Stephanie Wadwanski Lpn.

Where is Stephanie Clark located?

Stephanie Clark practices at 55 Ramble Hill Lane, Millbrook, NY 12545. The listed phone number is (845) 677-9500.

What is Stephanie Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.