Provider Demographics
NPI:1164871422
Name:GARZON, CLAUDIA
Entity Type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:
Last Name:GARZON
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 1:45 GILLOOLY RD
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2233
Mailing Address - Country:US
Mailing Address - Phone:857-272-0936
Mailing Address - Fax:
Practice Address - Street 1:193 BRADSTREET AVE
Practice Address - Street 2:APT 1
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-4160
Practice Address - Country:US
Practice Address - Phone:857-272-0936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN284669163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse