CLAYTON A FREDERICK

COLUMBUS, OH
NPI1982199675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  022933)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OH  RN.392650)
Enumeration Date2018-06-26
Last Update Date2018-11-21
Business Address
CLAYTON A FREDERICK
1791 ALUM CREEK DR STE 100
COLUMBUS, OH 43207-1708
Phone number: 614-645-2300
Mailing Address
CLAYTON A FREDERICK
2780 AIRPORT DR STE 100
COLUMBUS, OH 43219-2289
Phone number: 614-859-1906