Provider Demographics
NPI:1225245103
Name:VERVILLE, CLAUDIA JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:JEAN
Last Name:VERVILLE
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 1:515 S STANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:STANFIELD
Mailing Address - State:AZ
Mailing Address - Zip Code:85272-9687
Mailing Address - Country:US
Mailing Address - Phone:520-424-3353
Mailing Address - Fax:520-424-3798
Practice Address - Street 1:515 S STANFIELD RD
Practice Address - Street 2:
Practice Address - City:STANFIELD
Practice Address - State:AZ
Practice Address - Zip Code:85272-9687
Practice Address - Country:US
Practice Address - Phone:520-424-3353
Practice Address - Fax:520-424-3798
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ729874163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool