Provider Demographics
NPI:1982903639
Name:BERRY, CLAUDIA BETHUNE (RN)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:BETHUNE
Last Name:BERRY
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 1:1383 BONNIE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-3750
Mailing Address - Country:US
Mailing Address - Phone:614-804-1882
Mailing Address - Fax:
Practice Address - Street 1:1383 BONNIE RIDGE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3750
Practice Address - Country:US
Practice Address - Phone:614-804-1882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN281848163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse