Provider Demographics
NPI:1023377934
Name:PIHLGREN, DEBBIE KAY (RN)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:KAY
Last Name:PIHLGREN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 HEARTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-3620
Mailing Address - Country:US
Mailing Address - Phone:234-567-7703
Mailing Address - Fax:
Practice Address - Street 1:1740 HEARTHSIDE DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-3620
Practice Address - Country:US
Practice Address - Phone:234-567-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 301796163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health