Doctor Name: | DEBORAH ELAINE BLISS |
NPI Number: | 1013059559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP |
License Number: | NP-3855P |
Business Practice Address: | 1 Medical Village Drive St. Elizabeth Healthcare Edgewood, KY - 410173403 |
Business Phone Number: | 8593012000 |
Business Fax Number: | 8593016900 |
Mailing Address: | 350 Thomas More Parkway, St. Elizabeth Healthcare, Suite 280 CRESTVIEW HILLS |
State: | KY |
Postal Code: | 41017 |
Phone Number: | 8594260800 |
Fax Number: | 8595780222 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 01/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | NP-3855P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |