Provider Demographics
NPI:1396901427
Name:ROSS, CLAUDIA DOROTHY (CNA / CHHA)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:DOROTHY
Last Name:ROSS
Suffix:
Gender:F
Credentials:CNA / CHHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 N 1300 W
Mailing Address - Street 2:APT. 33
Mailing Address - City:ST. GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770
Mailing Address - Country:US
Mailing Address - Phone:435-467-1731
Mailing Address - Fax:
Practice Address - Street 1:474 WEST 200 NORTH
Practice Address - Street 2:
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770
Practice Address - Country:US
Practice Address - Phone:435-986-8561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTUTCA010480407374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide