Provider Demographics
NPI:1851101281
Name:CLAY, MERLYN L
Entity type:Individual
Prefix:
First Name:MERLYN
Middle Name:L
Last Name:CLAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 ANDERSON LN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-7749
Mailing Address - Country:US
Mailing Address - Phone:850-359-4673
Mailing Address - Fax:
Practice Address - Street 1:5910 ANDERSON LN
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-7749
Practice Address - Country:US
Practice Address - Phone:850-359-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty