Provider Demographics
NPI:1023181831
Name:ROSS-MCLEISH, CLAUDIA JOHNSON (RN)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:JOHNSON
Last Name:ROSS-MCLEISH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:SEIAD VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:96086-0737
Mailing Address - Country:US
Mailing Address - Phone:530-493-5257
Mailing Address - Fax:530-493-5257
Practice Address - Street 1:38 PARKWAY
Practice Address - Street 2:
Practice Address - City:HAPPY CAMP
Practice Address - State:CA
Practice Address - Zip Code:96039-0031
Practice Address - Country:US
Practice Address - Phone:530-493-5257
Practice Address - Fax:530-493-5270
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA514772163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice