Doctor Name: | MS. DEBORAH DELIGHT TROY |
NPI Number: | 1548401706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC; PMHNP-BC |
License Number: | 2008011658 |
Business Practice Address: | 115 6th St Ne Cass Lake, MN - 566333428 |
Business Phone Number: | 2183353050 |
Business Fax Number: | 2183354410 |
Mailing Address: | 115 6th St Ne, CASS LAKE |
State: | MN |
Postal Code: | 566333428 |
Phone Number: | 2183353050 |
Fax Number: | 2183354410 |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2008011658 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |