MEDICARE: DEBORAH WALBRIGHT

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
1	163W00000X	Registered Nurse	824752	TX

General Provider Information

NPI Number	:	1437525284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH WALBRIGHT

Provider Business Mailing Address
First Line	:	1206 CHILTON
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-2966
Country	:	US
Telephone Number	:	937-409-1218
Fax Number	:

Provider Business Practice Location Address
First Line	:	4270 GLENDALE MILFORD RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-3704
Country	:	US
Telephone Number	:	877-880-0346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2015
Last Update Date	:	08/17/2015

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Directions to “ DEBORAH WALBRIGHT ” Practice Location

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