Provider Demographics
NPI:1154092328
Name:WAYTS, DEBBY DARLENE
Entity Type:Individual
Prefix:
First Name:DEBBY
Middle Name:DARLENE
Last Name:WAYTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5497 EDEN RD
Mailing Address - Street 2:
Mailing Address - City:ROCK CAVE
Mailing Address - State:WV
Mailing Address - Zip Code:26234-5764
Mailing Address - Country:US
Mailing Address - Phone:304-924-9263
Mailing Address - Fax:
Practice Address - Street 1:5497 EDEN RD
Practice Address - Street 2:
Practice Address - City:ROCK CAVE
Practice Address - State:WV
Practice Address - Zip Code:26234-5764
Practice Address - Country:US
Practice Address - Phone:304-924-9263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker