MRS. CLAUDEENA WATT AUSTIN


Address: 122 Valley View Cir, Bloomington, IL 61704-9371
Phone: 3098291907

MRS. CLAUDEENA WATT AUSTIN (NPI# 1013052950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013052950
Entity Type Individual
Full Name MRS. CLAUDEENA WATT AUSTIN
Practice Address 122 Valley View Cir
Bloomington
IL 61704-9371
Practice Telephone 3098291907
Practice Fax Number 3098291904
Mailing Telephone 3098291907
Mailing Fax Number 3098291904
Enumeration Date 2007-02-20
Last Update Date 2007-07-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
$$$$$$$$$ IL Nursing Service Providers

Office Location

Street Address 122 VALLEY VIEW CIR
City BLOOMINGTON
State IL
Zip Code 61704-9371

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City BLOOMINGTON
Zip Code 61704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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