Doctor Name: | ANDREA RENEE CLAY |
NPI Number: | 1811218258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ASN |
License Number: | RN159886 |
Business Practice Address: | 4330 Maynardville Hwy Maynardville, TN - 378073618 |
Business Phone Number: | 8659923849 |
Business Fax Number: | 8659925166 |
Mailing Address: | Dept 888182, KNOXVILLE |
State: | TN |
Postal Code: | 379958182 |
Phone Number: | 8003553565 |
Fax Number: | 4237142355 |
NPI Enumeration Date: | 06/21/2010 |
NPI Last Update Date: | 06/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN159886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |