Provider Demographics
NPI:1477797207
Name:IMES, CLAUDIA R (NP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:R
Last Name:IMES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:R
Other - Last Name:HOUSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1120 E ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4044
Mailing Address - Country:US
Mailing Address - Phone:719-250-8701
Mailing Address - Fax:
Practice Address - Street 1:1120 E ELIZABETH ST STE G2
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4044
Practice Address - Country:US
Practice Address - Phone:719-250-8701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3489207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO26101360Medicaid
COP01237582OtherRAILROAD MEDICARE
CO26101360Medicaid