Provider Demographics
NPI:1467768192
Name:PRITCHARD, CLARE MATHEWS (RN)
Entity Type:Individual
Prefix:MS
First Name:CLARE
Middle Name:MATHEWS
Last Name:PRITCHARD
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 1:389 CONGRESS ST
Mailing Address - Street 2:RM. 307
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-3566
Mailing Address - Country:US
Mailing Address - Phone:207-756-8020
Mailing Address - Fax:
Practice Address - Street 1:389 CONGRESS ST
Practice Address - Street 2:RM. 307
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-3566
Practice Address - Country:US
Practice Address - Phone:207-756-8020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER058718163W00000X
NY63088A3-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse