Provider Demographics
NPI:1275661753
Name:HADDEN, CLAUDIA DALE (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:DALE
Last Name:HADDEN
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 WADDELL CIR
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5142
Mailing Address - Country:US
Mailing Address - Phone:865-482-3982
Mailing Address - Fax:
Practice Address - Street 1:165 WADDELL CIR
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-5142
Practice Address - Country:US
Practice Address - Phone:865-482-3982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily