Provider Demographics
NPI:1659761161
Name:GOLDEN, CLAIRE W (PA-C)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:W
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12712 WESTGLEN DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4157
Mailing Address - Country:US
Mailing Address - Phone:501-680-1453
Mailing Address - Fax:501-978-1908
Practice Address - Street 1:9501 BAPTIST HEALTH DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6225
Practice Address - Country:US
Practice Address - Phone:501-227-7596
Practice Address - Fax:501-978-1908
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-585363A00000X
ARP-T1501363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant