Provider Demographics
NPI:1588113161
Name:TOWNSEND, CLAYDEAN ANTOINETTE (RN)
Entity type:Individual
Prefix:
First Name:CLAYDEAN
Middle Name:ANTOINETTE
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 LEXINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-1607
Mailing Address - Country:US
Mailing Address - Phone:347-260-2306
Mailing Address - Fax:
Practice Address - Street 1:59 LEXINGTON WAY
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-1607
Practice Address - Country:US
Practice Address - Phone:347-260-2306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-24
Last Update Date:2016-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY642036-1163W00000X, 163WA0400X, 163WE0003X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WH0200XNursing Service ProvidersRegistered NurseHome Health