Provider Demographics
NPI:1407341977
Name:DAY, KALEY NICOLE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KALEY
Middle Name:NICOLE
Last Name:DAY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:NICOLE
Other - Last Name:KASTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3763 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW WATERFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44445-9762
Mailing Address - Country:US
Mailing Address - Phone:330-420-2025
Mailing Address - Fax:330-967-4444
Practice Address - Street 1:3763 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW WATERFORD
Practice Address - State:OH
Practice Address - Zip Code:44445-9762
Practice Address - Country:US
Practice Address - Phone:330-420-2025
Practice Address - Fax:330-967-4444
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2023-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023006363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily