Basic Information
Provider Information
NPI: 1598869679
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WHETSTONE
FirstName: CLAUDIA
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2905 BEVERLY LN
Address2:  
City: CLINTON
State: OK
PostalCode: 736019402
CountryCode: US
TelephoneNumber: 5803092122
FaxNumber:  
Practice Location
Address1: 90TH N.31ST
Address2:  
City: CLINTON
State: OK
PostalCode: 73601
CountryCode: US
TelephoneNumber: 5803236021
FaxNumber: 5803235635
Other Information
ProviderEnumerationDate: 09/11/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0809XR0025936OKY Nursing Service ProvidersRegistered NursePsych/Mental Health, Adult

No ID Information.


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