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

Coleen Clark, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1588981575

Coleen Clark, ANP is a Nurse Practitioner in Buffalo, New York. Qualified in 2022, 4 years ago. Practices with Sehwan Medical Care PLLC, a 56-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

656 Elmwood Ave
Buffalo, NY 14222-1836
Phone: (716) 883-0515
Fax: (716) 883-8764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F404652-01 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 304179 (NY)

Record details

NPI number1588981575
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedApril 29, 2010
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sehwan Medical Care Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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