Doctor Name: | DENEDA T DAYE |
NPI Number: | 1033455191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 5005943 |
Business Practice Address: | 86 Three Hunts Drive Pembroke, NC - 283728998 |
Business Phone Number: | 9105220408 |
Business Fax Number: | 9105220465 |
Mailing Address: | Po Box 6331, CONCORD |
State: | NC |
Postal Code: | 280271523 |
Phone Number: | 7047840753 |
Fax Number: | 7047200670 |
NPI Enumeration Date: | 12/18/2012 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5005943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |