Individual
DUSTIN MARSHALL CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
25411
TN
363LF0000X
Family Nurse Practitioner
Primary
348868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25411
—
TN
Enumeration date
01/18/2019
Last updated
04/13/2022
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