Individual
DEBORAH MIKA-DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 821-5850
Mailing address
13515 BARRETT PARKWAY DR, SUITE 170, BALLWIN, MO 63021-5870
(314) 775-2816
(314) 775-2821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430067528
RR MEDICARE
MO
05
—
918942145
—
MO
Enumeration date
11/04/2005
Last updated
10/14/2014
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