Provider Demographics
NPI:1841353398
Name:PROCHTER, CLAUDIA JEANNE (RN)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:JEANNE
Last Name:PROCHTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3450 BLACK BART TRL
Mailing Address - Street 2:
Mailing Address - City:REDWOOD VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95470-9638
Mailing Address - Country:US
Mailing Address - Phone:707-485-0715
Mailing Address - Fax:707-472-2665
Practice Address - Street 1:3450 BLACK BART TRL
Practice Address - Street 2:
Practice Address - City:REDWOOD VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95470-9638
Practice Address - Country:US
Practice Address - Phone:707-485-0715
Practice Address - Fax:707-472-2665
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA211385163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse