Provider Demographics
NPI:1932834306
Name:NYAH, CLARISE (RN)
Entity Type:Individual
Prefix:
First Name:CLARISE
Middle Name:
Last Name:NYAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 SAINT CLAIR AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-3007
Mailing Address - Country:US
Mailing Address - Phone:484-597-4513
Mailing Address - Fax:
Practice Address - Street 1:1057 SAINT CLAIR AVE APT 23
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-3007
Practice Address - Country:US
Practice Address - Phone:484-597-4513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH489412163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health