Doctor Name: | MRS. DEANYL LYCOLE DENLINGER |
NPI Number: | 1427380427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 2009012304 |
Business Practice Address: | 450b Washington Jackson Rd Suite 102 Eaton, OH - 453207600 |
Business Phone Number: | 9374568360 |
Business Fax Number: | |
Mailing Address: | 450b Washington Jackson Rd, Suite 102 EATON |
State: | OH |
Postal Code: | 453207600 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/02/2010 |
NPI Last Update Date: | 02/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2009012304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |