Provider Demographics
NPI:1003377078
Name:CLAUDIO, ANA M
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:M
Last Name:CLAUDIO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SUSNNAH
Other - Middle Name:M
Other - Last Name:BULTRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NRCCS,NRCMA
Mailing Address - Street 1:3434 W COLUMBUS DR STE 107
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1859
Mailing Address - Country:US
Mailing Address - Phone:813-808-2707
Mailing Address - Fax:
Practice Address - Street 1:3434 W COLUMBUS DR STE 107
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1859
Practice Address - Country:US
Practice Address - Phone:813-808-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-30
Last Update Date:2019-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty