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Individual

TINA DENISE CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3593 MEDINA RD # 181, MEDINA, OH 44256-8182
(330) 536-3746
Mailing address
3593 MEDINA LINE RD#181, MEDINA, OH 44256-8182
(330) 990-0420
(330) 267-4250

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.311016
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN311016
OH
363L00000X
Nurse Practitioner
0028426
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0028426
OH

Other

Enumeration date
08/27/2019
Last updated
04/20/2022
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