MRS. CLARA B DOUGLAS


Address: 67 Brooktree Rd, East Windsor, NJ 08520-2437
Phone: 6094483412

MRS. CLARA B DOUGLAS (NPI# 1851681894) 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) 1851681894
Entity Type Individual
Full Name MRS. CLARA B DOUGLAS
Credential APN
Practice Address 67 Brooktree Rd
East Windsor
NJ 08520-2437
Practice Telephone 6094483412
Practice Fax Number 6094484952
Mailing Telephone 6094483412
Mailing Fax Number 6094484952
Enumeration Date 2011-04-11
Last Update Date 2011-04-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
26NC030030000 NJ Nursing Service Providers

Office Location

Street Address 67 BROOKTREE RD
City EAST WINDSOR
State NJ
Zip Code 08520-2437

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Taxonomy Information

Taxonomy Code 163WP0807X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Child & Adolescent

Taxonomy Definition

Definition to come...

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Competitor

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City EAST WINDSOR
Zip Code 08520

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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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