Lacy Rae Clayton, RN, NP, DNP
Nurse Practitioner, Psych/Mental Health in Wyncote, PA. Individual provider (NPI-1).
NPI number1508166281
StatusActive
Last updated in NPPESApr 22, 2023
Details
- NPI
- 1508166281
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lacy Rae Clayton
- Credential
- RN, NP, DNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2010
- Certification date
- Apr 22, 2023
- Last updated
- Apr 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP015382 | PA | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN2269120 | MA |
Practice location
102 Waverly RdWyncote, PA 19095-1322
Phone 267-944-6220
Mailing address
102 Waverly RdWyncote, PA 19095-1322
Phone 267-944-6220
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