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Individual

DEBORAH LYNN BLOYD

Active
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Individual

DEBORAH LYNN BLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2517P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000351403
ANTHEM PSC LOCATION
KY
01
000000542935
ANTHEM FOUNDATION
KY
01
50004862
PASSPORT SPECIALITY-PSC LOCATION
KY
01
50012922
PASSPORT-SPECIALTY FOUNDATION LOCATION
KY
01
50012926
PASSPORT-PCP FOUNDATION LOCATION
KY
05
78025178
KY
Enumeration date
01/09/2006
Last updated
09/29/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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