Doctor Name: | JUDY R MCCLARY |
NPI Number: | 1003044181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, PH.D., CLNC |
License Number: | 0001111488 |
Business Practice Address: | 140 Thrasher Rd Chesapeake, VA - 233204726 |
Business Phone Number: | 7574362326 |
Business Fax Number: | 7574100891 |
Mailing Address: | 140 Thrasher Rd, CHESAPEAKE |
State: | VA |
Postal Code: | 233204726 |
Phone Number: | 7574362326 |
Fax Number: | 7574100891 |
NPI Enumeration Date: | 06/26/2009 |
NPI Last Update Date: | 06/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0000X |
License Number: | 0001111488 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pain Management |
Taxonomy Definition: |