Provider Demographics
NPI:1922997717
Name:CLAYPOOL, CAROLINE (APRN)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:CLAYPOOL
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 SEQUOIA ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-3069
Mailing Address - Country:US
Mailing Address - Phone:931-561-9363
Mailing Address - Fax:
Practice Address - Street 1:1402 SEQUOIA ST
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-3069
Practice Address - Country:US
Practice Address - Phone:931-561-9363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN176747163W00000X
NV825435163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse