| Ian Clarke, LPN | |
|
400 Columbus Ave, New Haven, CT 06519-1233 | |
| (203) 503-3000 | |
| Not Available |
| Full Name | Ian Clarke |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 400 Columbus Ave, New Haven, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669778908 | NPI | - | NPPES |
| 004235900 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 035458 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Clarke, LPN 400 Columbus Ave, New Haven, CT 06519-1233 Ph: (203) 503-3000 | Ian Clarke, LPN 400 Columbus Ave, New Haven, CT 06519-1233 Ph: (203) 503-3000 |
Heidi Clarke, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624 | |
Beverly Brazzell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624 | |
Miss Tia Marie Edwards, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624 | |
Dianna Gabrielle Celano, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-752-8091 | |
Ms. Denise L Shannon, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-781-4600 Fax: 203-781-4624 | |
Ms. Loretta Gibson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-781-4600 Fax: 203-781-4624 | |
Arlene O'callahan, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624 |