Basic Information
Provider Information
NPI: 1528667490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FELDMAN
FirstName: CLAUDIA
MiddleName: IRENE
NamePrefix: MRS.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8590 GOLD PEAK DR UNIT C
Address2:  
City: HIGHLANDS RANCH
State: CO
PostalCode: 801307136
CountryCode: US
TelephoneNumber: 9703313108
FaxNumber:  
Practice Location
Address1: 1700 WHEELING ST
Address2:  
City: AURORA
State: CO
PostalCode: 800457211
CountryCode: US
TelephoneNumber: 3033998020
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/22/2020
LastUpdateDate: 10/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WD1100XRN.1618758COY Nursing Service ProvidersRegistered NurseDialysis, Peritoneal

No ID Information.


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