Provider Demographics
NPI:1073160990
Name:DEMBY, DEE ANN (LPN)
Entity Type:Individual
Prefix:
First Name:DEE
Middle Name:ANN
Last Name:DEMBY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 EHRMAN RD
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-2271
Mailing Address - Country:US
Mailing Address - Phone:724-452-9122
Mailing Address - Fax:724-452-8561
Practice Address - Street 1:2001 EHRMAN RD
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-2271
Practice Address - Country:US
Practice Address - Phone:724-452-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN063597L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse