Individual
MRS. DEBORAH KAYE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R54633
AR
163WC0400X
Case Management Registered Nurse
R54633
AR
163WC1600X
Continuing Education/Staff Development Registered Nurse
R54633
AR
163WG0000X
General Practice Registered Nurse
R54633
AR
163WP0200X
Pediatric Registered Nurse
R54633
AR
163WS0200X
School Registered Nurse
Primary
R54633
AR
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
Update your record
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