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Active NPI 1538657465 Individual Practitioner Male Practitioner

Nicholas Clark , LPN

Licensed Practical Nurse • Evanston, WY

Professional Overview & Biography Verified Profile Summary

Nicholas Clark, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Evanston, WY. Practice services are available at 350 CITY VIEW DR STE 206 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

350 City View Dr Ste 206

Evanston, WY 82930

Telephone 3077897915
Associated Practice Facility / Clinic
🏢 Pioneer Counseling Services Facility NPI 1093792095

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Evanston, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Evanston, WY (57 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WY 8096

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Walworth

Community Health Worker

NPI 1013297415
Stephanie Eardley , BS

Case Manager/Care Coordinator

NPI 1013583954

Bachelor of Science

Teresa Frey

Community Health Worker

NPI 1023446192
Andrea Bertagnolli

Case Manager/Care Coordinator

NPI 1033403365
Chante Britt , PEER SPECIALIST

Case Manager/Care Coordinator

NPI 1033846316

PEERSPECIALIST

Tara Case

Case Manager/Care Coordinator

NPI 1063707271

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 29, 2018

Registered at 350 CITY VIEW DR STE 206, EVANSTON, WY 82930 (Tel: 3077897915)

👤
Provider Name / Credentials Updated May 29, 2018

Recorded as NICHOLAS CLARK, LPN

NPI Profile Active April 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2018

Registered at 350 CITY VIEW DR STE 206, EVANSTON, WY 829305326 (Tel: 3077897915)

📍
Updated Business Mailing Address April 26, 2018

Registered at 350 CITY VIEW DR STE 206, EVANSTON, WY 829305326 (Tel: 3077897915)

👤
Provider Name / Credentials Updated April 26, 2018

Recorded as NICK CLARK, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2018

Licensed Practical Nurse (License #8096 in WY)

🟢
Initial NPI Registration & Enumeration April 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538657465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2018
Last Update: May 29, 2018
Sole Proprietor: No

Mailing Address

350 City View Dr Ste 206

Evanston, WY 829305326

Phone: 3077897915

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.