Provider Demographics
NPI:1316431141
Name:CLAUS, NANCY ALIZA (CRNP, FNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ALIZA
Last Name:CLAUS
Suffix:
Gender:F
Credentials:CRNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 17TH COURT NE
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:AL
Mailing Address - Zip Code:35555-1353
Mailing Address - Country:US
Mailing Address - Phone:205-932-7777
Mailing Address - Fax:205-932-8880
Practice Address - Street 1:122 17TH COURT NE
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:AL
Practice Address - Zip Code:35555-1353
Practice Address - Country:US
Practice Address - Phone:205-932-7777
Practice Address - Fax:205-932-8880
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-092576363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner