Provider Demographics
NPI:1669735627
Name:WIDEN, CLAIRE SANDRA (RN, FNP)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:SANDRA
Last Name:WIDEN
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 SUGAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8611
Mailing Address - Country:US
Mailing Address - Phone:828-626-2486
Mailing Address - Fax:
Practice Address - Street 1:1 RESORT DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3815
Practice Address - Country:US
Practice Address - Phone:828-350-1773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-24
Last Update Date:2012-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC080943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily