Provider Demographics
NPI:1861445066
Name:DAY, DEBORAH B (ARNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:B
Last Name:DAY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 918
Mailing Address - Street 2:
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428
Mailing Address - Country:US
Mailing Address - Phone:850-638-0552
Mailing Address - Fax:850-638-0504
Practice Address - Street 1:1376 BRICKYARD RD
Practice Address - Street 2:STE 4
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-6391
Practice Address - Country:US
Practice Address - Phone:850-638-0552
Practice Address - Fax:850-638-0504
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP801002363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y4197OtherBLUE CROSS
FL034321800Medicaid
FL500008591OtherRAILROAD MEDICARE
S23288Medicare UPIN
FL034321800Medicaid