Doctor Name: | AMY JEAN DEER |
NPI Number: | 1194032631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 30118 |
Business Practice Address: | 1915 E Rezanof Dr Kodiak, AK - 996156602 |
Business Phone Number: | 9074869545 |
Business Fax Number: | |
Mailing Address: | 155 Parks Ln, KODIAK |
State: | AK |
Postal Code: | 996156815 |
Phone Number: | 9076544972 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2010 |
NPI Last Update Date: | 09/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 30118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |