Provider Demographics
NPI:1497769723
Name:WEXLER, CLAY ELLEN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CLAY
Middle Name:ELLEN
Last Name:WEXLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13011 SW 116TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4608
Mailing Address - Country:US
Mailing Address - Phone:305-380-7415
Mailing Address - Fax:305-386-4226
Practice Address - Street 1:13011 SW 116TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4608
Practice Address - Country:US
Practice Address - Phone:786-683-5961
Practice Address - Fax:305-386-4226
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP619032163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP619302OtherSTATE LICENSE
FLARNP619302OtherSTATE LICENSE