Provider Demographics
NPI:1841009685
Name:MARTUS, CLAIRE ELEAHNA (RN)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ELEAHNA
Last Name:MARTUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:ELEAHNA
Other - Last Name:GARDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1517 CHARLOTTE HWY
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-6329
Mailing Address - Country:US
Mailing Address - Phone:803-517-5801
Mailing Address - Fax:
Practice Address - Street 1:18 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-1734
Practice Address - Country:US
Practice Address - Phone:803-684-1905
Practice Address - Fax:803-684-1907
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC215503163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool