Provider Demographics
NPI:1760879027
Name:STICKMAN, CLAUDIA DUNN
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:DUNN
Last Name:STICKMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:JAN
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, PHN
Mailing Address - Street 1:579 KINGOSAK STREET
Mailing Address - Street 2:PO BOX 69
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-0069
Mailing Address - Country:US
Mailing Address - Phone:907-852-0270
Mailing Address - Fax:907-852-2855
Practice Address - Street 1:579 KINGOSAK STREET
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723-0069
Practice Address - Country:US
Practice Address - Phone:907-852-0270
Practice Address - Fax:907-852-2855
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK24620163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK24620OtherSTATE OF ALASKA BOARD OF REGISTERED NURSING