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MS. REEDA IRENE CLARK LPN
NPI 1821296369
Licensed Practical Nurse in Erin, NY

Active since July 06, 2007
236 PARK STATION RD, ERIN, NY 14838(607) 739-1504 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Reeda Irene Clark Lpn NPPES

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

MS. REEDA IRENE CLARK LPN (NPI 1821296369) is an individual licensed practical nurse in Erin, New York, licensed in New York (153698-1) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1821296369
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. REEDA IRENE CLARKCredential: LPN
Location Address236 PARK STATION RDErin, NY 14838-9735
Mailing Address236 Park Station RdErin, NY 14838-9735 · (607) 739-1504
Phone(607) 739-1504
Sole ProprietorYes
Enumeration DateJuly 6, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1821296369 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 · 153698-1
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.
236 PARK STATION RD, Erin, NY 14838
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Other Identifiers 1

Medicaid01223427NY

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 Reeda Clark's NPI number?

The NPI number for Reeda Clark is 1821296369. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Reeda Clark located?

Reeda Clark practices at 236 Park Station Rd, Erin, NY 14838. The listed phone number is (607) 739-1504.

What is Reeda 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 Reeda Clark was last updated on July 9, 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.