Healthcare Provider Details
I. General information
NPI: 1518055771
Provider Name (Legal Business Name): DEBORAH HOY CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/11/2006
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1492 E BROAD ST
COLUMBUS OH
43205-1546
US
IV. Provider business mailing address
1492 E BROAD ST
COLUMBUS OH
43205-1546
US
V. Phone/Fax
- Phone: 614-257-3760
- Fax: 614-257-3768
- Phone: 614-257-3760
- Fax: 614-257-3768
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | COA01610NS |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | NS1610 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | RN132243 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: