Provider Demographics
NPI:1932216322
Name:NILSON, CLAUDIA S (ARNP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:S
Last Name:NILSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:SUZANNE
Other - Last Name:NILSON-BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 S. MILLER STREET
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801
Mailing Address - Country:US
Mailing Address - Phone:509-662-1511
Mailing Address - Fax:509-665-6100
Practice Address - Street 1:1201 S. MILLER STREET
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801
Practice Address - Country:US
Practice Address - Phone:509-662-1511
Practice Address - Fax:509-665-6100
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006696363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0227554OtherLABOR AND INDUSTRIES
WA9641630Medicaid
WA0227554OtherLABOR AND INDUSTRIES
8856494Medicare ID - Type Unspecified