CLAUDETTE ANNMARIE MEDDER
NPI 1508457631
Licensed Practical Nurse in Lawrenceville, GA

Active since February 01, 2021
175 GWINNETT DR, LAWRENCEVILLE, GA 30046(678) 209-2394 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Claudette Annmarie Medder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAUDETTE ANNMARIE MEDDER (NPI 1508457631) is an individual licensed practical nurse in Lawrenceville, Georgia, licensed in Georgia (GA085276) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1508457631
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCLAUDETTE ANNMARIE MEDDER
Location Address175 GWINNETT DRLawrenceville, GA 30046-8444
Mailing Address2738 Lake Capri DrConyers, GA 30012-2945 · (347) 482-5528
Sole ProprietorNo
Enumeration DateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
NPI 1508457631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in GA · GA085276
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

175 GWINNETT DR, Lawrenceville, GA 30046

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Social Worker (Clinical)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Social Worker (Clinical)
175 GWINNETT DR, GRN COMMUNITY SERVICE BOARD
LAWRENCEVILLE, GA 30046
Social Worker
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Professional)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Social Worker
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Social Worker
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse (Psychiatric/Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Professional)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Community/Behavioral Health
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
175 GWINNETT DR
LAWRENCEVILLE, GA 30046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508457631, enumerated as an "individual" on February 01, 2021.

The provider is located at 175 GWINNETT DR LAWRENCEVILLE, GA 30046 and the phone number is (678) 209-2394.

Licensed Practical Nurse with taxonomy code 164W00000X.