Provider Demographics
NPI:1144099847
Name:WILSON-MCCLANAHAN, ARIANE (RN)
Entity type:Individual
Prefix:MRS
First Name:ARIANE
Middle Name:
Last Name:WILSON-MCCLANAHAN
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 1:12600 RENAISSANCE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-6004
Mailing Address - Country:US
Mailing Address - Phone:708-301-0800
Mailing Address - Fax:708-645-0803
Practice Address - Street 1:12600 RENAISSANCE CIRCLE
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-6004
Practice Address - Country:US
Practice Address - Phone:708-301-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.539391163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse