Clayville, Larhonda J.

Clayville, Larhonda J. is an individual health care provider with primary practice located at 32018 23Rd Ave S , Federal Way WA 98003-6022. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clayville, Larhonda J. can be contacted via phone (253) 839-3030.

Contact Information

Primary practice address
32018 23Rd Ave S Federal Way WA 98003-6022
Phone: (253) 839-3030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30005173 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30005173 Washington

Profile Details

NPI number 1629005962
LBN Legal business name Clayville, Larhonda J.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629005962 NPPES
Washington Other 77622U REGENCE BLUE SHIELD PIN
Washington Other 0189548 REGENCE BLUE SHIELD PIN
Washington MEDICAID 9635103 REGENCE BLUE SHIELD PIN

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