Provider Demographics
NPI:1942068408
Name:DRISCOLL, CLAUDIA A
Entity Type:Individual
Prefix:PROF
First Name:CLAUDIA
Middle Name:A
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 RAPIDAN PARK
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-3081
Mailing Address - Country:US
Mailing Address - Phone:571-762-6521
Mailing Address - Fax:
Practice Address - Street 1:535 RAPIDAN PARK
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-3081
Practice Address - Country:US
Practice Address - Phone:571-762-6521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1036920163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse