Individual
CLAYTON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CPNP-PC
Contact information
Practice address
5126 BUTLER WARREN RD, MASON, OH 45040-1241
(513) 486-3700
Mailing address
5126 BUTLER WARREN RD, MASON, OH 45040-1241
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0040145
OH
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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