Healthcare Provider Details

I. General information

NPI: 1932834306
Provider Name (Legal Business Name): CLARISE NYAH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 SAINT CLAIR AVE APT 23
HAMILTON OH
45015-3007
US

IV. Provider business mailing address

1057 SAINT CLAIR AVE APT 23
HAMILTON OH
45015-3007
US

V. Phone/Fax

Practice location:
  • Phone: 484-597-4513
  • Fax:
Mailing address:
  • Phone: 484-597-4513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70053760
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number489412
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: