Provider Demographics
NPI:1003695537
Name:MCNAMARA, CLARA NAOMI BAKER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CLARA
Middle Name:NAOMI BAKER
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CLARA
Other - Middle Name:NAOMI
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:5405 TUCKERMAN LN APT 117
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-7302
Mailing Address - Country:US
Mailing Address - Phone:610-888-1646
Mailing Address - Fax:
Practice Address - Street 1:818 W DIAMOND AVE STE 120
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1450
Practice Address - Country:US
Practice Address - Phone:301-963-6334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0009086363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical