Wade Bror Clauson, LPN
Individual provider Active NPI Licensed Practical Nurse · Jber, AK
NPI 1821363532 · NPPES record last updated Mar 13, 2012
Key facts
- NPI
- 1821363532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 6820 (AK)
- Practice address
- 7411 Metzger Ave Unit B
Jber, AK 99506-2022 - Phone
- (907) 330-9779
- NPI assigned
- Mar 13, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EMT530361 | FL | MD | Basic Emergency Medical Technician |
| 6820 | AK | MD | Licensed Practical Nurse |
| PN5199765 | FL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | EMT530361 | FL | |
| Licensed Practical Nurse | 164W00000X | 6820 | AK | Yes |
| Licensed Practical Nurse | 164W00000X | PN5199765 | FL |
Addresses
Primary practice location
7411 Metzger Ave Unit B
Jber, AK 99506-2022
Mailing address
7411 Metzger Ave Unit B
Jber, AK 99506
Phone (907) 330-9779
Other providers in Jber, AK
- Kelly Chipemba
- Doug Cho
- Min Choi
- Javier Cifuentes
- Justin James Clark
- Rachel Clayton
- Matthew Coddington
- Eric W Colegrove
- Alix Ann Coleman
- Lindsey Tyler Colgan
All providers in Jber, AK · Licensed Practical Nurse in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.