DOUGLAS CLYBURN R.N. NPI 1154685469

NPI Information

  • NPI: 1154685469
  • Provider Name: DOUGLAS CLYBURN, R.N.
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 23 YORK AVE
    STATEN ISLAND, NY
    ZIP 10301
  • Phone: (347) 937-0238

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NPI Details

Douglas Clyburn, R.N. is a general practice registered nurse in Staten Island, NY. Douglas Clyburn, R.N. NPI is 1154685469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23 YORK AVE
STATEN ISLAND, NY
ZIP 10301-326
Phone: (347) 937-0238

The enumeration date for this NPI number is 7/2/2012 and was last updated on 7/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse568854NEW YORKNo
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)568854NEW YORKNo
3163WC0400XRegistered NurseCase Management568854NEW YORKNo
4163WC2100XRegistered NurseContinence Care568854NEW YORKNo
5163WD0400XRegistered NurseDiabetes Educator568854NEW YORKNo
6163WH0200XRegistered NurseHome Health568854NEW YORKNo
7163WH1000XRegistered NurseHospice568854NEW YORKNo
8163WI0600XRegistered NurseInfection Control568854NEW YORKNo
9163WM0705XRegistered NurseMedical-Surgical568854NEW YORKNo
10163WN1003XRegistered NurseNutrition Support568854NEW YORKNo
11163WP0000XRegistered NursePain Management568854NEW YORKNo
12163WW0000XRegistered NurseWound Care568854NEW YORKNo
13163WX1500XRegistered NurseOstomy Care568854NEW YORKNo
14163WG0000XRegistered NurseGeneral Practice568854NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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