Doctor Name: | MARY JOY CLAYTON |
NPI Number: | 1770671570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30001451 |
Business Practice Address: | 815 K Street Hoquiam, WA - 98550 |
Business Phone Number: | 3605332734 |
Business Fax Number: | 3602491993 |
Mailing Address: | 319 E Pioneer Ave, MONTESANO |
State: | WA |
Postal Code: | 98563 |
Phone Number: | 3602491980 |
Fax Number: | 3602491993 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30001451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |