Individual
BETH ANN CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 585-5502
(513) 585-5511
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN CRNA 01093
OH
367500000X
Certified Registered Nurse Anesthetist
RN268711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200116360
—
IN
05
—
2090740
—
OH
05
—
74468851
—
KY
Enumeration date
06/08/2006
Last updated
05/30/2017
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