Provider Demographics
NPI:1467223081
Name:CLAIBORNE, MAYA SLOAN (NBC-HWC)
Entity Type:Individual
Prefix:MS
First Name:MAYA
Middle Name:SLOAN
Last Name:CLAIBORNE
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 S VIRGINIA ST APT 507
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2911
Mailing Address - Country:US
Mailing Address - Phone:775-636-4625
Mailing Address - Fax:
Practice Address - Street 1:17 S VIRGINIA ST APT 507
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2911
Practice Address - Country:US
Practice Address - Phone:775-636-4625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-3887813171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach