Individual
AUDREY CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 FORT HILL PARK, OXFORD, NY 13830
(607) 843-7185
(607) 843-3241
Mailing address
PO BOX 192, OXFORD, NY 13830-0192
(607) 843-7185
(607) 843-3241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
619223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10379597
—
NY
Enumeration date
09/23/2016
Last updated
09/23/2016
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