Provider Demographics
NPI:1144083916
Name:CLAROS, NANCY ESMERALDA
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ESMERALDA
Last Name:CLAROS
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 1:560 12TH ST NE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-9434
Mailing Address - Country:US
Mailing Address - Phone:239-537-3617
Mailing Address - Fax:
Practice Address - Street 1:560 12TH ST NE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-9434
Practice Address - Country:US
Practice Address - Phone:239-537-3617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030784363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily