Provider Demographics
NPI:1619156478
Name:LOUALLEN, CLAIRE BELL
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:BELL
Last Name:LOUALLEN
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 1:181 HILL CIR
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327-3437
Mailing Address - Country:US
Mailing Address - Phone:423-949-8297
Mailing Address - Fax:
Practice Address - Street 1:181 HILL CIR
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:TN
Practice Address - Zip Code:37327-3437
Practice Address - Country:US
Practice Address - Phone:423-949-8297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNIDO NOT HAVE ONE YET163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health