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NPI Code Detail

MEDICARE: AMY REBECCA CLAYTON ANP

MEDICARE:   AMY REBECCA CLAYTON  ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner71003414AIN

General Provider Information

NPI Number : 1902115090
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY REBECCA CLAYTON ANP
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number : 317-621-7547
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N RITTER AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-3027
Country : US
Telephone Number : 317-552-2463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 03/02/2026

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Directions to “ AMY REBECCA CLAYTON ANP” Practice Location

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