Provider Demographics
NPI:1356038590
Name:CLAYTON, ERYKA (CNS, MS)
Entity type:Individual
Prefix:
First Name:ERYKA
Middle Name:
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:CNS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06412-1006
Mailing Address - Country:US
Mailing Address - Phone:347-690-0367
Mailing Address - Fax:
Practice Address - Street 1:21 LAUREL ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:CT
Practice Address - Zip Code:06412-1006
Practice Address - Country:US
Practice Address - Phone:347-690-0367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist