Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelique Clark

Individual provider Licensed Practical Nurse · NPI 1912843517

Angelique Clark is a Licensed Practical Nurse in Johnstown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

159 Mayluth Rd
Johnstown, PA 15904-2632
Phone: (267) 240-9184
Fax: (267) 240-9184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN314105 (PA)

Record details

NPI number1912843517
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address159 Mayluth Rd, Johnstown, PA 15904-2632

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