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

Clancy Wallerson

Individual provider School Registered Nurse · NPI 1407168776

Clancy Wallerson is a School Registered Nurse in Springfield Gardens, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
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Practice location Address checks out

22011 145th Rd
Springfield Gardens, NY 11413-3420
Phone: (347) 748-2184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 5510351 (NY)

Record details

NPI number1407168776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2010
Last updated in NPPESJuly 2, 2010

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