CHRISTINE ELIZABETH CLAYBROOK


Address: 6859 E Rembrandt Ave Ste 117, Mesa, AZ 85212-3630
Phone: 4806315772

CHRISTINE ELIZABETH CLAYBROOK (NPI# 1306356746) 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) 1306356746
Entity Type Individual
Full Name CHRISTINE ELIZABETH CLAYBROOK
Practice Address 6859 E Rembrandt Ave Ste 117
Mesa
AZ 85212-3630
Mailing Address 4595 E Ironhorse Rd
Gilbert
AZ 85297-5548
Practice Telephone 4806315772
Enumeration Date 2017-10-11
Last Update Date 2017-10-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP10168 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6859 E REMBRANDT AVE STE 117
City MESA
State AZ
Zip Code 85212-3630

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1730320623 Kay Lynn Southwell Nurse Practitioner 6242 E Arbor Ave Suite 111, Mesa, AZ 85206-2809 2009-03-23
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Competitor

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City MESA
Zip Code 85212

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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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