Individual
MISS DESHAY MARIE SCANDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3300 PHILADELPHIA DR, DAYTON, OH 45405-1919
(937) 274-1501
(937) 274-1510
Mailing address
3300 PHILADELPHIA DR, DAYTON, OH 45405-1919
(937) 274-1501
(937) 274-1510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.10335
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2943944
—
OH
Enumeration date
03/05/2009
Last updated
11/24/2020
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