Provider Demographics
NPI:1932616570
Name:CLAYTON, VALARIE NICOLE
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:NICOLE
Last Name:CLAYTON
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 1:8255 SUNBURY LN APT 422
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2942
Mailing Address - Country:US
Mailing Address - Phone:832-427-1289
Mailing Address - Fax:
Practice Address - Street 1:8255 SUNBURY LANE
Practice Address - Street 2:APT 422
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-7709
Practice Address - Country:US
Practice Address - Phone:832-427-1289
Practice Address - Fax:832-427-1289
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty