Provider Demographics
NPI:1073384368
Name:AMECK, CLAURETTE ATUD
Entity Type:Individual
Prefix:
First Name:CLAURETTE
Middle Name:ATUD
Last Name:AMECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8619 ANNAPOLIS RD APT 102
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3104
Mailing Address - Country:US
Mailing Address - Phone:240-423-6693
Mailing Address - Fax:
Practice Address - Street 1:8619 ANNAPOLIS RD APT 102
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3104
Practice Address - Country:US
Practice Address - Phone:240-423-6693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide