Provider Demographics
NPI:1447706577
Name:CHENG, CLARA (RN)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CLARA
Other - Middle Name:HSIAO-CHIH
Other - Last Name:HSUEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7500 MOUNT RANIER
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-6937
Mailing Address - Country:US
Mailing Address - Phone:201-925-4393
Mailing Address - Fax:
Practice Address - Street 1:7500 MOUNT RANIER
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-6937
Practice Address - Country:US
Practice Address - Phone:201-925-4393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN366308163W00000X
372500000X, 372600000X, 374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No163W00000XNursing Service ProvidersRegistered Nurse
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker