Healthcare Provider Details

I. General information

NPI: 1356650758
Provider Name (Legal Business Name): DAYANA CLAEYS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2010
Last Update Date: 10/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15850 CRABBS BRANCH WAY SUITE 350
ROCKVILLE MD
20855-2622
US

IV. Provider business mailing address

15850 CRABBS BRANCH WAY SUITE 350
ROCKVILLE MD
20855-2622
US

V. Phone/Fax

Practice location:
  • Phone: 240-499-2636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001223288
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberAC000790
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: