Provider Demographics
NPI:1841081494
Name:CLAYTER, CHANNING (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:CHANNING
Middle Name:
Last Name:CLAYTER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18216 BATHGATE TER
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-9722
Mailing Address - Country:US
Mailing Address - Phone:240-626-1663
Mailing Address - Fax:
Practice Address - Street 1:18216 BATHGATE TER
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-9722
Practice Address - Country:US
Practice Address - Phone:240-626-1663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)