Doctor Name: | MRS. DEBRA K MCDONALD |
NPI Number: | 1174804850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, BC |
License Number: | RN155581 |
Business Practice Address: | 251 N Main St Cedarville, OH - 453148501 |
Business Phone Number: | 9377667862 |
Business Fax Number: | 9377667865 |
Mailing Address: | 251 N Main St, CEDARVILLE |
State: | OH |
Postal Code: | 453148501 |
Phone Number: | 9377667862 |
Fax Number: | 9377667865 |
NPI Enumeration Date: | 09/08/2011 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1400X |
License Number: | RN155581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | College Health |
Taxonomy Definition: |