Provider Demographics
NPI:1427655570
Name:HARRISON, CLAUDIA J
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:J
Last Name:HARRISON
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 1:348 HANE AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5312
Mailing Address - Country:US
Mailing Address - Phone:740-262-3394
Mailing Address - Fax:740-751-4363
Practice Address - Street 1:348 HANE AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-5312
Practice Address - Country:US
Practice Address - Phone:740-262-3394
Practice Address - Fax:740-751-4363
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5100661376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker