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

Nicholas Clark, LPN

Individual provider Licensed Practical Nurse · NPI 1538657465

Nicholas Clark, LPN is a Licensed Practical Nurse in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2018.

Licensed in
WY
In the registry since
2018
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

350 City View Dr Ste 206
Evanston, WY 82930
Phone: (307) 789-7915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 8096 (WY)

Record details

NPI number1538657465
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESMay 29, 2018
Mailing address350 City View Dr Ste 206, Evanston, WY 82930-5326

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