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DEBRA ELIZABETH HENRY RN BSN CWON

Nursing Service Providers Registered Nurse Enterostomal Therapy

Provider NPI: 1235361775

Provider Information:
 DEBRA ELIZABETH HENRY RN BSN CWON
Gender: F
Not Sole Proprietor

Practice Location:
800 ZORN AVE  LOUISVILLE, KY 40206-1433 US
Tel: 502-287-5991  Fax: --

Business Mailing Address:
800 ZORN AVE  LOUISVILLE, KY 40206-1433 US
Tel: 502-287-5991  Fax: --

NPI Information:
NPI: 1235361775
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WE0900XNursing Service Providers
Registered Nurse
Enterostomal Therapy
KY1037941

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WE0900X

Type:

Classification:



Definition:



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