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MISS ANGELIA ELAINE CLAYTON CERTIFIED NURSE PRAC

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1164534194

Individual Registrant:
MISS ANGELIA ELAINE CLAYTON CERTIFIED NURSE PRAC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD  TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: 334-727-2508

Contact information for business:
915 EXCELSIOR DR  MONTGOMERY, AL 36117-4515 US
Tel: 334-727-0505  Fax: 334-725-2508

Registration Information:
NPI: 1164534194
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-056798

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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