Provider Demographics
NPI:1356828354
Name:DEEDS, SUNNY DAY
Entity Type:Individual
Prefix:
First Name:SUNNY
Middle Name:DAY
Last Name:DEEDS
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 1:3640 W WACO DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-5345
Mailing Address - Country:US
Mailing Address - Phone:254-307-8607
Mailing Address - Fax:
Practice Address - Street 1:3640 W WACO DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-5345
Practice Address - Country:US
Practice Address - Phone:254-307-8607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX741324163WA2000X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WP0200XNursing Service ProvidersRegistered NursePediatrics