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ANGELIQUE CLARK
NPI 1912843517
Licensed Practical Nurse in Johnstown, PA

Active since April 27, 2026
159 MAYLUTH RD, JOHNSTOWN, PA 15904(267) 240-9184(267) 240-9184 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelique Clark NPPES

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

ANGELIQUE CLARK (NPI 1912843517) is an individual licensed practical nurse in Johnstown, Pennsylvania, licensed in Pennsylvania (PN314105) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1912843517
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELIQUE CLARK
Location Address159 MAYLUTH RDJohnstown, PA 15904-2632
Mailing Address159 Mayluth RdJohnstown, PA 15904-2632 · (267) 240-9184 · Fax (267) 240-9184
Phone(267) 240-9184
Fax(267) 240-9184
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1912843517 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 PA · PN314105
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.
159 MAYLUTH RD, Johnstown, PA 15904
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Other Providers at the Same Location NPPES

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

ONE STICK DIAGNOSTIC SERVICES LLC
Clinical Medical Laboratory
159 MAYLUTH RD
JOHNSTOWN, PA 15904
Cambria County (814) 419-4665

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 Angelique Clark's NPI number?

The NPI number for Angelique Clark is 1912843517. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Angelique Clark located?

Angelique Clark practices at 159 Mayluth Rd, Johnstown, PA 15904. The listed phone number is (267) 240-9184.

What is Angelique 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 Angelique Clark was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.