Provider Demographics
NPI:1902840952
Name:SMITH, CLAIRE ZSCHAU (NP)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ZSCHAU
Last Name:SMITH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1906 TOPANGA CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-6278
Mailing Address - Country:US
Mailing Address - Phone:970-223-5398
Mailing Address - Fax:970-491-3560
Practice Address - Street 1:COLORADO STATE UNIVERSITY
Practice Address - Street 2:HARTSHORN HEALTH SERVICE
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-0001
Practice Address - Country:US
Practice Address - Phone:970-491-7121
Practice Address - Fax:970-491-3560
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49984363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner