MEDICARE: HEATHER ANN CLAUS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A-107183	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	70742	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1679767131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ANN CLAUS ARNP

Provider Business Mailing Address
First Line	:	1 ROCK ISLAND ARSENAL
Second Line	:	BUILDING 110, BASEMENT
City	:	ROCK ISLAND
State	:	IL
Zip	:	61299-7240
Country	:	US
Telephone Number	:	309-782-0805
Fax Number	:	309-782-0825

Provider Business Practice Location Address
First Line	:	1 ROCK ISLAND ARSENAL
Second Line	:	BUILDING 110, BASEMENT
City	:	ROCK ISLAND
State	:	IL
Zip	:	61299-7240
Country	:	US
Telephone Number	:	309-782-0805
Fax Number	:	309-782-0825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	04/16/2013

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