Doctor Name: | MRS. DEBRA J WING |
NPI Number: | 1134228166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 4930416-4405 |
Business Practice Address: | 557 W 2600 S Bountiful, UT - 840107717 |
Business Phone Number: | 8012989155 |
Business Fax Number: | 8012989156 |
Mailing Address: | 557 W 2600 S, BOUNTIFUL |
State: | UT |
Postal Code: | 840107717 |
Phone Number: | 8012989155 |
Fax Number: | 8012989156 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 11/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0000X |
License Number: | 4930416-4405 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pain Management |
Taxonomy Definition: |