Provider Demographics
NPI:1700635182
Name:GODINEZ, CLAUDIA LORENA (NP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LORENA
Last Name:GODINEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 SMITH LN S
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-9121
Mailing Address - Country:US
Mailing Address - Phone:559-917-0259
Mailing Address - Fax:
Practice Address - Street 1:254 SMITH LN S
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-9121
Practice Address - Country:US
Practice Address - Phone:559-917-0259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95030039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty