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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLAYTON MICHAEL CLARK

Active Sole Proprietor

CLAYTON MICHAEL CLARK is a Certified Nurse Anesthetist (CRNA) healthcare provider located in DURHAM, North Carolina. NPI 1013575844 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · DURHAM, NC

Registration Details

NPI Number
1013575844
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2019 (7.1838866347837 yrs)
Last Updated
Nov 19, 2019
Licenses
275012 (NC)
AP143683 (TX)
Sole Proprietor
Yes

Practice Information

Address
307 TRENT DR
DURHAM, NC, 277103038
Browse NC providers · Browse ZIP 27710
Phone
9196843786
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in DURHAM, NC

Name Credential NPI
THOMAS E DIAMOND CRNA 1740269810
RONALD IACONE CRNA 1467432005
GRACE ANN SIMPSON CRNA 1245200948
KENNETH LAURENCE BERNSTEIN CRNA 1740253426
MRS. IVETTE LOPEZ AGUEDA CRNA 1699737411
CINDY COOK-MARTIN CRNA 1780638825
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.