Provider Demographics
NPI:1134561186
Name:WAINWRIGHT, CLAIRE L (PAAA)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:L
Last Name:WAINWRIGHT
Suffix:
Gender:F
Credentials:PAAA
Other - Prefix:MISS
Other - First Name:CLAIRE
Other - Middle Name:LOUISE
Other - Last Name:NEWTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 551420
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33355-1420
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:954-839-2569
Practice Address - Street 1:1000 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-7694
Practice Address - Country:US
Practice Address - Phone:770-963-9905
Practice Address - Fax:770-962-9814
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant