Provider Demographics
NPI:1407033038
Name:SANDERS, CLAUDINE W (NCCS)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDINE
Middle Name:W
Last Name:SANDERS
Suffix:
Gender:F
Credentials:NCCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6043 INGRAM DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70812-2328
Mailing Address - Country:US
Mailing Address - Phone:225-356-0587
Mailing Address - Fax:225-357-6341
Practice Address - Street 1:6043 INGRAM DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70812-2328
Practice Address - Country:US
Practice Address - Phone:225-356-0587
Practice Address - Fax:225-357-6341
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist