Provider Demographics
NPI:1952101024
Name:THAYER, DEBORAH ELIZABETH
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ELIZABETH
Last Name:THAYER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2490 ROAD 115
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-3125
Mailing Address - Country:US
Mailing Address - Phone:308-249-0280
Mailing Address - Fax:
Practice Address - Street 1:2490 ROAD 115
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-3125
Practice Address - Country:US
Practice Address - Phone:308-249-0280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No376J00000XNursing Service Related ProvidersHomemaker