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NPI Code Detail

MEDICARE: DEBRA DELLAY ARNP

MEDICARE: DEBRA DELLAY ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner3003069KY
2363LC0200XCritical Care Medicine Nurse Practitioner3069PKY

General Provider Information

NPI Number : 1083616064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA DELLAY ARNP
Provider Business Mailing Address
First Line : 875 ROBIN RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-2915
Country : US
Telephone Number : 859-221-5259
Fax Number :
Provider Business Practice Location Address
First Line : 989 GOVERNORS LN,
Second Line : STE 180
City : LEXINGTON
State : KY
Zip : 40513-1175
Country : US
Telephone Number : 859-338-3958
Fax Number : 859-368-8135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 09/02/2016

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