Provider Demographics
NPI:1932188539
Name:BOBAY, CLAUDIA J (FNP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:J
Last Name:BOBAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:J
Other - Last Name:WOODRUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:11109 PARKVIEW PLAZA DR # 117
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4665 S STATE ROAD 5
Practice Address - Street 2:
Practice Address - City:SOUTH WHITLEY
Practice Address - State:IN
Practice Address - Zip Code:46787-9101
Practice Address - Country:US
Practice Address - Phone:260-248-9980
Practice Address - Fax:260-248-9989
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000450A363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000278947OtherANTHEM
IN200249610Medicaid
IN500004847OtherRAILROAD MEDICARE
IN000000278947OtherANTHEM
S66326Medicare UPIN
IN200249610Medicaid