Mcclurg, Carlene M

Mcclurg, Carlene M is an individual health care provider with primary practice located at 301 E Maumee St , Angola IN 46703-2012. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mcclurg, Carlene M can be contacted via phone (260) 667-5635.

Contact Information

Primary practice address
301 E Maumee St Angola IN 46703-2012
Phone: (260) 667-5635
Fax: (260) 665-8852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000700A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000700A Indiana

Profile Details

NPI number 1235164732
LBN Legal business name Mcclurg, Carlene M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 7th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235164732 NPPES
Indiana Other 000000490402 ANTHEM BLUE CROSS

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