Provider Demographics
NPI:1679857809
Name:CLAUSSEN, IWONA CELINA (RN)
Entity Type:Individual
Prefix:
First Name:IWONA
Middle Name:CELINA
Last Name:CLAUSSEN
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 1:4832 41ST ST APT 3F
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-3109
Mailing Address - Country:US
Mailing Address - Phone:347-754-8498
Mailing Address - Fax:
Practice Address - Street 1:4832 41ST ST APT 3F
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-3109
Practice Address - Country:US
Practice Address - Phone:347-754-8498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY669178-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse