Nicole Clark, M.S. R.D

NPI 1720312820 · on the registry since 2009

Practice

Address: 2 Crescent Park West
Nutrition Services
Warren, PA 16365
Phone: (814) 723-4973
Organisation at this address: Group Medical Services
Warren General Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 133V00000X
133V00000X
Also registered as: 132700000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania