Doctor Name: | CARYN SUE CLEMENTS |
NPI Number: | 1386088664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 4704234531 |
Business Practice Address: | 23001 Sheltering Spruce Ave Chugiak, AK - 995675440 |
Business Phone Number: | 9076882335 |
Business Fax Number: | |
Mailing Address: | 23001 Sheltering Spruce Ave, CHUGIAK |
State: | AK |
Postal Code: | 995675440 |
Phone Number: | 9076882335 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2013 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 4704234531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |