| Doctor Name: | STARLENE CLAYSON |
| NPI Number: | 1033357330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 1928684405 |
| Business Practice Address: | 1055 N 300 W Ste 400 Provo, UT - 846043359 |
| Business Phone Number: | 8013577404 |
| Business Fax Number: | 8013577587 |
| Mailing Address: | 1055 N 300 W Ste 400, PROVO |
| State: | UT |
| Postal Code: | 846043359 |
| Phone Number: | 8013577404 |
| Fax Number: | 8013577587 |
| NPI Enumeration Date: | 01/26/2009 |
| NPI Last Update Date: | 04/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1928684405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |