Individual
DEBORAH B DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1376 BRICKYARD RD, STE 4, CHIPLEY, FL 32428-6391
(850) 638-0552
(850) 638-0504
Mailing address
PO BOX 918, CHIPLEY, FL 32428
(850) 638-0552
(850) 638-0504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP801002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034321800
—
FL
01
—
500008591
RAILROAD MEDICARE
FL
01
—
Y4197
BLUE CROSS
—
Enumeration date
05/18/2006
Last updated
08/25/2015
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