Provider Demographics
NPI:1962619338
Name:FOX, CLARITA T (RN)
Entity type:Individual
Prefix:MRS
First Name:CLARITA
Middle Name:T
Last Name:FOX
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 1:10507 WALBROOK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23238-5116
Mailing Address - Country:US
Mailing Address - Phone:804-741-9369
Mailing Address - Fax:
Practice Address - Street 1:10507 WALBROOK DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-5116
Practice Address - Country:US
Practice Address - Phone:804-741-9369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA138982163W00000X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical