Provider Demographics
NPI:1417206384
Name:MCCLURE, CHAMBREE NICOLE
Entity type:Individual
Prefix:MS
First Name:CHAMBREE
Middle Name:NICOLE
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 WEBB ST.
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-8028
Mailing Address - Country:US
Mailing Address - Phone:540-818-3984
Mailing Address - Fax:
Practice Address - Street 1:207 WEBB ST.
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944-8028
Practice Address - Country:US
Practice Address - Phone:540-818-3984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child