Healthcare Provider Details

I. General information

NPI: 1154254720
Provider Name (Legal Business Name): CLAUDEA PAUL DIXON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 NOYO CT
CHICO CA
95973-7662
US

IV. Provider business mailing address

17 NOYO CT
CHICO CA
95973-7662
US

V. Phone/Fax

Practice location:
  • Phone: 229-834-7510
  • Fax:
Mailing address:
  • Phone: 229-834-7510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95122715
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: