Provider Demographics
NPI:1972013126
Name:PEPPER DAY, AMELIA (RN MSN)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:PEPPER DAY
Suffix:
Gender:F
Credentials:RN MSN
Other - Prefix:
Other - First Name:MIMI
Other - Middle Name:
Other - Last Name:PEPPER DAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8800 E HARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2806
Mailing Address - Country:US
Mailing Address - Phone:510-292-5416
Mailing Address - Fax:
Practice Address - Street 1:8800 E HARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2806
Practice Address - Country:US
Practice Address - Phone:510-292-5416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA781911163W00000X
WARN60842594163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse